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Empowering Minds, Saving Lives
MINIMALLY-INVASIVE ENDONASAL ENDOSCOPIC SURGERY FOR PITUITARY TUMORS
Neurosurgeons at the Ali Neurologic can remove nearly all benign pituitary tumors using endonasal endoscopic surgery. The pituitary surgery team deals with the clinical and scientific issues of sellar and perisellar processes – mainly pituitary adenoma, as well as colloid cysts, metastases, granulomas, chordomas, craniopharyngiomas and meningiomas.
We recognized worldwide as a master in surgical neuroanatomy, the basis for accurate, safe, and gentle surgery. We has developed new surgical techniques for pituitary tumors invading the cavernous sinus and extending into the brain space that allow for higher rates of complete tumor removal and long-term remission in functional tumors
Quality Helthcare Starts With Quality Doctors
ENDOSCOPIC TRANSSELLAR APPROACH
A great majority of pituitary adenomas can be removed via the transsphenoidal transsellar route. To visualize the whole sella, a wide sphenoidotomy is required because the sella is usually enlarged anteriorly, laterally and inferiorly by the tumor. The sellar bone is removed up to the four blue lines corresponding to the bilateral CS and the superior and inferior intercavernous sinuses. Some sellar tumors extending laterally to the CS can also be removed using this approach
EXTRACAPSULAR DISSECTION
The pseudocapsule of a pituitary adenoma is a lining of normal pituitary gland cells formed due to gradual compression of the gland by the tumor [6]. Before this pseudocapsule was explored as a viable surgical plane, resection of pituitary adenomas was performed using intracapsular dissection. The pseudocapsule was immediately opened along with the dura, and the tumor was removed in a piecemeal fashion using ring curettes
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SCEREBRAL PALSY Cerebral palsy is a condition that affects your body movements. It’s the result of a brain injury. The injury can happen before, during or after birth. Cerebral palsy doesn’t get worse over time. The brain damage affects how your body moves. It also can affect the way you stand
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DYSTONIA Dystonia is a movement disorder that makes it hard for someone to control their muscles. It can cause parts of the body to spasm, tremor, twist and form abnormal positions. It is not clear why some people get dystonia, but it may happen because of a chemical imbalance in the brain
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ESSENTIAL TREMOR Essential tremor is a nervous system condition that causes uncontrollable shaking. Your hands may be affected first. Your head and voice may also be affected by essential tremor. Having an essential tremor can affect you in different ways
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HUNTINGTON'S DISEASE It can affect a person's brain and body. Most people start experiencing symptoms as young adults or in middle age. However, some people may develop symptoms earlier, even before 20 years of age.
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MOTOR NEURONE DISEASE It's the name for a group of diseases that affect nerves known as motor nerves, or motor neurons. Your motor nerves carry messages from your brain to your muscles via your spinal cord. These messages allow you to move, swallow, talk and breathe. In MND, these motor neurons become damaged and die
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PARKINSON'S DISEASE It's a movement and mood disorder. It is a condition that progresses with time and happens when the nerve cells in the brain can't make enough of a body chemical called dopamine. Most people with Parkinson's disease are diagnosed around the age of 65 years
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RESTLESS LEGS SYNDROME It's a common condition where you have an urge to move your legs to relieve unpleasant sensations. Symptoms are usually worse in the evening and at night, especially when you're trying to fall asleep. They often start when you're resting, lying down or sitting for a long time
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TOURETTE SYNDROME It's a genetic inherited neurological disorder. It causes people to make involuntary and uncontrollable vocal sounds and/or movements. Some people may bite themselves or hurt themselves in other ways or find it necessary to repeatedly touch other people and things
Navigating the Complexities of the Brain
Trust Our Neurosurgeons
The vast majority of pituitary tumors can safely be removed through the endoscopic, transsphenoidal route. Exceedingly large tumors may be difficult to remove endoscopically, however, especially in cases where the tumor has spread to adjacent nerves or brain tissue. In these rare cases, a more extensive operation may be required that uses a craniotomy combined with skull base approaches
