Sudden hemorrhage into asymptomatic hypophyseal tumors
Kandel', E.I.
Zhurnal Nevropatologii i Psikhiatrii Imeni S.S. Korsakova 88(11): 51-54
1988
ISSN/ISBN: 0044-4588 PMID: 3223159 Document Number: 315611
In 6 previously asymptomatic patients the hypophysis (adenoma) hemorrhages developed suddenly with prompt severe signs of subarachnoidal hemorrhage or vision loss up to total blindness. Five patients were either operated via transfrontal approach or transnasal stereotaxic cryodestruction of the tumor was performed. One patient died before operation within 24h after admission. Of the 6 patients, 5 had the chromophobic hypophyseal adenomas. Of the 5 operated patients 4 remain in satisfactory conditions for 4 to 10 years. The success of the treatment in patients with hemorrhages into the asymptomatic hypophyseal tumors depends on prompt detection and urgent surgery.