Clinical problem solving: monster on the hook--case problems in neurosurgery.

Journal Article (Journal Article;Review)

BACKGROUND AND OBJECTIVE: Nonfunctioning and functioning pituitary tumors can present in numerous ways. They may be difficult to diagnose correctly and, even with proper treatment, may lead to complications. METHODS: We present the case of a patient who presented with a large, invasive sellar mass and underwent both medical and surgical treatment for this lesion. The patient's course did not progress as was expected from his initial workup. RESULTS: The patient's history, physical examination, laboratory values, pathologic specimens, and radiologic findings are discussed. His management before, during, and after medical therapy and surgery is reviewed by pituitary experts from 2 different institutions. Aspects of diagnosis and management of sellar lesions are presented and reviewed in the literature. CONCLUSION: Neurosurgeons frequently treat patients with sellar lesions and should remember that despite modern laboratory, pathologic, and radiologic techniques, the diagnosis and treatment of these lesions is not always clear.

Full Text

Duke Authors

Cited Authors

  • Muh, CR; Boulis, NM; Chandler, WF; Barkan, AL; Mosunjac, MB; Oyesiku, NM

Published Date

  • March 2011

Published In

Volume / Issue

  • 68 / 3

Start / End Page

  • E874 - E882

PubMed ID

  • 21311284

Electronic International Standard Serial Number (EISSN)

  • 1524-4040

Digital Object Identifier (DOI)

  • 10.1227/NEU.0b013e318207ac0b


  • eng

Conference Location

  • United States