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      Síndrome intra-selar: análise de 506 cirurgias transesfenoidais Translated title: lntrasselar syndrome: analysis of 506 transsphenoidal surgeries

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      Arquivos de Neuro-Psiquiatria
      Academia Brasileira de Neurologia - ABNEURO

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          Abstract

          Entre 506 cirurgias transesfenoidais realizadas pelo autor, foram selecionados para análise 404 casos assim distribuidos: 396 tumores hipofisários, 4 cistos intra-selares e 4 selas vazias. Com base nos sintomas apresentados pelos pacientes delineou-se a "síndrome intra-selar" caracterizada por cefaléia, desordens visuais e desendocrinias. Esta tríade pode às vezes aparecer incompleta. Chama-se atenção para casos de tumor intra-selar com RX da sela turcica normal, onde o diagnóstico se faz apenas pelo perfil endocrinológico. Mostra o autor que o reconhecimento da síndrome intra-selar pode ser feito precocemente se está atento para ela. Enfim o tratamento pela cirurgia transesfenoidal é simples e de excelentes resultados. A mortalidade na casuística do autor foi de 0,2%.

          Translated abstract

          The author has performed 506 transsphenoidal surgeries but has analyzed in this study only 404 cases. There were 396 hypophiseal tumors, 4 intrasellar cysts and 4 empty sellas. Based in the symptoms presented by the patients he describes an "intrasellar syndrome", caracterized by headache, visual disorders and hormonal abnormalities. He calls attention for intrasellar tumors with normal sella, as seen by x-ray. The diagnosis of these tumors were made only by endocrinological studies. At last he shows the advantages of transsphenoidal surgery in this pathology and the exellent results obtained. The mortality of his cases was only 0.2%.

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          Most cited references11

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          Transphenoidal Microsurgery of the Normal and Pathological Pituitary

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            Die Morphologie der Sella turcica und ihre Beziehungen zur Hypophyse

            W. Busch (1951)
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              Advances and Technical Standards in Neurosurgery

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                Author and article information

                Contributors
                Role: ND
                Journal
                anp
                Arquivos de Neuro-Psiquiatria
                Arq. Neuro-Psiquiatr.
                Academia Brasileira de Neurologia - ABNEURO (São Paulo )
                1678-4227
                December 1985
                : 43
                : 4
                : 355-359
                Affiliations
                [1 ] Academia Nacional de Medicina Brazil
                Article
                S0004-282X1985000400003
                10.1590/S0004-282X1985000400003
                c0239a03-21f3-4680-a455-ad28822e5ab2

                http://creativecommons.org/licenses/by/4.0/

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                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0004-282X&lng=en
                Categories
                NEUROSCIENCES
                PSYCHIATRY

                Neurosciences,Clinical Psychology & Psychiatry
                Neurosciences, Clinical Psychology & Psychiatry

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