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PubMed1978

[Surgical and endocrinological results after the removal of hormonally inactive pituitary adenomas by means of frontal craniotomy].

The pre- and postoperative endocrinological findings are evaluated in 128 patients suffering from pituitary adenoma without endocrine activity, undergoing surgery in the Department of Neurosurgery, University Hospital, Zürich, in the 10-year period between 1962 and 1971. The preoperative examination showed hypothyroidism in 24% of all cases. 59% of the males showed primary or secondary hypogonadism. All females in the age between puberty and menopause complained of menstrual disturbances. One patient complained of preoperative diabetes insipidus. The postoperative examination showed that the function of a partially insufficient pituitary may improve after surgery. Hypothyroidism and adrenal insufficiency became normal in 2/3 of the cases. Male hypogonadism improved in 33% of the cases. One female gave birth to a normal baby after an uncomplicated pregnancy 6 years after pituitary surgery. 16% of the cases suffered from postoperative permanent diabetes insipidus. The operative complication rate (brain edema, intracranial bleeding, epilepsy) was 32%. The immediate surgical mortality was 7% (9 patients). Recurrent adenomas were found and operated on in 9% of the cases (11 patients). Three patients had two recurrences.

Adenoma↗
PubMed1984

[Limitations in opening the mouth after temporal craniotomy. Observations on 3 clinical cases].

The authors describe 3 cases of mouth-opening limitations and dyskinesia of the remaining mandibular movements, of different degrees of severity, arisen following a cicatricial retraction of the temporal muscle, caused by neurosurgical accesses to the underlying encephalic regions. Having kept in mind the afflictions that could cause an analogous symptomatology, the authors stop to consider which is the most suitable kind of treatment (surgical or rehabilitative) in these specific cases. For both kinds of treatment, corresponding to the specific indications, they propose techniques confirmed by their personal experiences.

Adolescent↗