title page
Contents
Abstract 5
Introduction 6
Materials & methods 7
Results 8
Clinical features 8
Endocrine findings and pathologic findings 8
Radiologic features and operative findings 9
Outcome 9
Discussion 11
Conclusion 15
References 16
(국문초록) 29
Table 1. Common presenting symptoms and signs in 16 patients with pituitary apoplexy 18
Table 2. Neuroophthalmological evaluation in 16 patients with pituitary apoplexy 19
Table 3. Hormonal expression and secretion characteristics in patient with apoplexy 20
Table 4. Radiologic classification of tumor size and extension based on the classification system from hardy, modified by wilson in patients with apoplexy 21
Table 5. MRI findings and operative findings 22
Table 6. Postsurgical outcomes of visual and cranial nerve function of patients with visual disturbances 23
Table 7. Postsurgical endocrine outcomes of patients with apoplexy 24
Table 8-1. Summary of 16 patients with pituitary apoplexy 25
Table 8-2. Summary of 16 patients with pituitary apoplexy 26
Fig 1. MRI scans of a 69-year-old man who presented with headache and left ptosis. A and B; Preoperative MRI scans show a 2.1X1.7X2.1 sized pituitary macroadema with suprasellar exension and hemorrhage.... 27
Fig 2. Microscopic feature of pituitary apoplexy. Photomicrograph shows tumor cell with coagulative necrosis and hemorrhage (H&E, X200) 28