Clinical Institute, University of Southern Denmark, Odense C, Denmark
Search for other papers by Morten Winkler Møller in
Google Scholar
PubMed
Department of Endocrinology, Odense University Hospital, Odense C, Denmark
Search for other papers by Marianne Skovsager Andersen in
Google Scholar
PubMed
Clinical Institute, University of Southern Denmark, Odense C, Denmark
Search for other papers by Christian Bonde Pedersen in
Google Scholar
PubMed
Department of Pathology, Odense University Hospital, Odense C, Denmark
Search for other papers by Bjarne Winther Kristensen in
Google Scholar
PubMed
Clinical Institute, University of Southern Denmark, Odense C, Denmark
Search for other papers by Frantz Rom Poulsen in
Google Scholar
PubMed
). For other PAs, except prolactinomas, surgery is the first choice of treatment. The primary surgical technique has been transsphenoidal surgery since Hardy introduced surgical microscopes in 1962 ( 9 ). Further development of this technique has improved
Department of Neurosurgery, 900TH Hospital of the Joint Logistics Support Force, Fuzhou, Fujian, China
Search for other papers by Liang Xue in
Google Scholar
PubMed
Search for other papers by Jianwu Wu in
Google Scholar
PubMed
Search for other papers by Jie Chen in
Google Scholar
PubMed
Search for other papers by Yongkai Yang in
Google Scholar
PubMed
complication following transsphenoidal surgery (TSS) ( 1 , 2 ), and the clinical management of DI depends greatly on the clinician’s experience with DI. Failure to treat DI quickly can lead to hyperosmolar dehydration with corresponding clinical manifestations
Search for other papers by Ida Staby in
Google Scholar
PubMed
Search for other papers by Jesper Krogh in
Google Scholar
PubMed
Search for other papers by Marianne Klose in
Google Scholar
PubMed
Search for other papers by Jonas Baekdal in
Google Scholar
PubMed
Department of Clinical Medicine, Faculty of Health and Clinical Sciences, Copenhagen University, Copenhagen, Denmark
Search for other papers by Ulla Feldt-Rasmussen in
Google Scholar
PubMed
Search for other papers by Lars Poulsgaard in
Google Scholar
PubMed
Search for other papers by Jacob Bertram Springborg in
Google Scholar
PubMed
Department of Clinical Medicine, Faculty of Health and Clinical Sciences, Copenhagen University, Copenhagen, Denmark
Search for other papers by Mikkel Andreassen in
Google Scholar
PubMed
to investigate the overall effect of transsphenoidal surgery on the pituitary endocrine function by comparing the numbers of insufficient axis before and after transsphenoidal surgery in a cohort of consecutive patients treated within the last 2 years
Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China
Search for other papers by Kunzhe Lin in
Google Scholar
PubMed
Search for other papers by Lingling Lu in
Google Scholar
PubMed
Search for other papers by Zhijie Pei in
Google Scholar
PubMed
Search for other papers by Shuwen Mu in
Google Scholar
PubMed
Search for other papers by Shaokuan Huang in
Google Scholar
PubMed
Department of Neurosurgery, 900th Hospital, Fuzhou, China
Search for other papers by Shousen Wang in
Google Scholar
PubMed
Introduction Delayed hyponatremia refers to hyponatremia that occurs ≥3 days after transsphenoidal surgery (TSS) ( 1 ). Patients with hyponatremia may have various clinical manifestations, ranging from asymptomatic to mild (headache, nausea
Harvard Medical School, Boston, Massachusetts, USA
Search for other papers by Nidan Qiao in
Google Scholar
PubMed
Introduction Cushing’s disease (CD) is a subtype of pituitary adenoma with hypercortisolism and presents a particular challenge to neurosurgeons. Transsphenoidal surgery (TS) has long been the standard of care for patients with CD ( 1 , 2
Search for other papers by Alberto Giacinto Ambrogio in
Google Scholar
PubMed
Search for other papers by Massimiliano Andrioli in
Google Scholar
PubMed
Search for other papers by Martina De Martin in
Google Scholar
PubMed
Search for other papers by Francesco Cavagnini in
Google Scholar
PubMed
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Search for other papers by Francesca Pecori Giraldi in
Google Scholar
PubMed
assess the pattern of ACTH/cortisol responses to desmopressin in the years following transsphenoidal surgery in patients with Cushing’s disease on long-term remission and to establish whether changes in the response to desmopressin in patients during
Search for other papers by Prachi Bansal in
Google Scholar
PubMed
Search for other papers by Anurag Lila in
Google Scholar
PubMed
Search for other papers by Manjunath Goroshi in
Google Scholar
PubMed
Search for other papers by Swati Jadhav in
Google Scholar
PubMed
Search for other papers by Nilesh Lomte in
Google Scholar
PubMed
Search for other papers by Kunal Thakkar in
Google Scholar
PubMed
Search for other papers by Atul Goel in
Google Scholar
PubMed
Search for other papers by Abhidha Shah in
Google Scholar
PubMed
Search for other papers by Shilpa Sankhe in
Google Scholar
PubMed
Search for other papers by Naina Goel in
Google Scholar
PubMed
Search for other papers by Neelam Jaguste in
Google Scholar
PubMed
Search for other papers by Tushar Bandgar in
Google Scholar
PubMed
Search for other papers by Nalini Shah in
Google Scholar
PubMed
mortality ( 2 ). Transsphenoidal surgery (TSS) of pituitary adenoma is the primary treatment modality, with varying remission rates (52–96.6%) reported across different centres ( 3 ). Various demographic, biochemical, radiological and histopathological
Assistance Publique Hôpitaux de Paris (APHP), Department of Endocrinology and Diabetes for Children, Bicêtre Paris-Sud, Le Kremlin Bicêtre, France
Search for other papers by Emmanuelle Motte in
Google Scholar
PubMed
APHP, Plateforme d’Expertise Maladies Rares Paris Sud, Bicêtre Paris Sud Hospital, Le Kremlin Bicêtre, France
Search for other papers by Anya Rothenbuhler in
Google Scholar
PubMed
Search for other papers by Stephan Gaillard in
Google Scholar
PubMed
Search for other papers by Najiba Lahlou in
Google Scholar
PubMed
APHP, Plateforme d’Expertise Maladies Rares Paris Sud, Bicêtre Paris Sud Hospital, Le Kremlin Bicêtre, France
Search for other papers by Cécile Teinturier in
Google Scholar
PubMed
Search for other papers by Régis Coutant in
Google Scholar
PubMed
APHP, Plateforme d’Expertise Maladies Rares Paris Sud, Bicêtre Paris Sud Hospital, Le Kremlin Bicêtre, France
Search for other papers by Agnès Linglart in
Google Scholar
PubMed
suspected ( 9 ), the treatment remains a challenge. The gold standard treatment for both pediatric and adult patients with CD is transsphenoidal surgery (TSS) with selective microadenomectomy, but the failure rate is about 25–50% ( 10 , 11 , 12 , 13 , 14
Search for other papers by Marta Araujo-Castro in
Google Scholar
PubMed
Search for other papers by Héctor Pian in
Google Scholar
PubMed
Search for other papers by Ignacio Ruz-Caracuel in
Google Scholar
PubMed
Search for other papers by Alberto Acitores Cancela in
Google Scholar
PubMed
Search for other papers by Eider Pascual-Corrales in
Google Scholar
PubMed
Endoscopic Skull Base Unit, Department of Neurosurgery, Hospital Universitario HM Puerta del Sur, Madrid, Spain
Search for other papers by Víctor Rodríguez Berrocal in
Google Scholar
PubMed
active acromegaly are associated with higher mortality ( 1 ). Transsphenoidal surgery is generally considered the first-line treatment of choice in acro-megaly ( 1 ). However, although surgical remission is achieved in up to 100% of microadenomas in
Search for other papers by Kunal Thakkar in
Google Scholar
PubMed
Search for other papers by Swati Ramteke-Jadhav in
Google Scholar
PubMed
Search for other papers by Rajeev Kasaliwal in
Google Scholar
PubMed
Search for other papers by Saba Samad Memon in
Google Scholar
PubMed
Search for other papers by Virendra Patil in
Google Scholar
PubMed
Search for other papers by Puja Thadani in
Google Scholar
PubMed
Search for other papers by Nilesh Lomte in
Google Scholar
PubMed
Search for other papers by Shilpa Sankhe in
Google Scholar
PubMed
Search for other papers by Atul Goel in
Google Scholar
PubMed
Search for other papers by Sridhar Epari in
Google Scholar
PubMed
Search for other papers by Naina Goel in
Google Scholar
PubMed
Search for other papers by Anurag Lila in
Google Scholar
PubMed
Search for other papers by Nalini S Shah in
Google Scholar
PubMed
Search for other papers by Tushar Bandgar in
Google Scholar
PubMed
patients with abscesses. Hypopituitarism was seen in all except one patient (case 4). Cortisol and gonadotropin axes were the commonest axes involved followed by thyroid axis. Three patients had elevated prolactin levels. Seven patients underwent trans-sphenoidal