Medknow Publications on behalf of the Neurological Society of India
Abstract
This is report on four cases of giant pituitary tumors that developed
postoperative pituitary apoplexy after they had undergone a partial
tumor resection. Three patients had undergone surgery by a
transsphenoid route and one patient underwent surgery by transcranial
route. Postoperative CT scan showed hemorrhagic expansion of residual
tumor mass. All the four patients were re-explored transcranially and
hemorrhagic swelling of the tumor was observed. In three cases, the
tumor had swollen to a size greater than twice the original tumor. All
the four patients had a fatal outcome