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Neurosurgery. 2014 Aug 25. [Epub ahead of print]

3-D Endoscopic Transsphnoidal Pituitary Surgery: Pituitary Microadenoma.

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1
Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.

Abstract

This video demonstrates an endoscopic transsphenoidal resection of an ACTH secreting pituitary microadenoma. The patient is a 62-year-old male that was found to have a 5 mm pituitary adenoma after he exhibited signs and symptoms of Cushing's disease. His endocrine laboratory studies confirmed central hypercortisolism. This video highlights dissection of the adenoma pseudocapsule from the remainder of the pituitary gland for tumor removal. A gross total resection was achieved and his post-operative cortisol levels were consistent with a biochemical cure of his Cushing's disease. Figures and captions for relevant anatomy during tumor resection are depicted at the end of the video.

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