Co-occurrence of pituitary adenoma with suprasellar and olfactory groove meningiomas

Kai Zheong Lim, Tony Goldschlager, Ronil V. Chandra, Jonathan Hall, Brent Uren, Michael Pullar

Research output: Contribution to journalArticleOtherpeer-review

Abstract

Introduction: The co-existence of pituitary adenoma and meningioma is extremely rare. It is even rarer in patients with no previous known risk factors for either tumour. Here, we present a case of synchronous non-functioning pituitary adenoma with suprasellar and olfactory groove meningiomas in a patient without previous irradiation. Methods: The tumours were diagnosed on MRI in the 65-year-old patient who presented with patchy visual deficits. The decision was made to undergo surgery for resection of the suprasellar meningioma and the pituitary adenoma, leaving the small olfactory groove meningioma intact. Extended endoscopic transsphenoidal surgery was performed. Results: Macroscopic clearance was achieved for pituitary macroadenoma and suprasellar meningioma. Postoperatively, visual field tsting and pituitary axis hormonal levels were normal. The pituitary macroadenoma was confirmed to be a non-functioning pituitary adenoma. The meningioma was diagnosed to be of WHO grade 1. Conclusion: The rationale for choosing such management option, including its risks and benefits in this challenging patient is discussed.

Original languageEnglish
Pages (from-to)361-365
Number of pages5
JournalBasic and Clinical Neuroscience
Volume7
Issue number4
DOIs
Publication statusPublished - 2016

Keywords

  • Endoscopic surgical procedure
  • Multiple meningioma
  • Olfactory groove meningioma
  • Pituitary tumors

Cite this

@article{037e5ea2139f47578185a38af44c3c69,
title = "Co-occurrence of pituitary adenoma with suprasellar and olfactory groove meningiomas",
abstract = "Introduction: The co-existence of pituitary adenoma and meningioma is extremely rare. It is even rarer in patients with no previous known risk factors for either tumour. Here, we present a case of synchronous non-functioning pituitary adenoma with suprasellar and olfactory groove meningiomas in a patient without previous irradiation. Methods: The tumours were diagnosed on MRI in the 65-year-old patient who presented with patchy visual deficits. The decision was made to undergo surgery for resection of the suprasellar meningioma and the pituitary adenoma, leaving the small olfactory groove meningioma intact. Extended endoscopic transsphenoidal surgery was performed. Results: Macroscopic clearance was achieved for pituitary macroadenoma and suprasellar meningioma. Postoperatively, visual field tsting and pituitary axis hormonal levels were normal. The pituitary macroadenoma was confirmed to be a non-functioning pituitary adenoma. The meningioma was diagnosed to be of WHO grade 1. Conclusion: The rationale for choosing such management option, including its risks and benefits in this challenging patient is discussed.",
keywords = "Endoscopic surgical procedure, Multiple meningioma, Olfactory groove meningioma, Pituitary tumors",
author = "Lim, {Kai Zheong} and Tony Goldschlager and Chandra, {Ronil V.} and Jonathan Hall and Brent Uren and Michael Pullar",
year = "2016",
doi = "10.15412/J.BCN.03070409",
language = "English",
volume = "7",
pages = "361--365",
journal = "Basic and Clinical Neuroscience",
issn = "2228-7442",
publisher = "Tehran University of Medical Sciences",
number = "4",

}

Co-occurrence of pituitary adenoma with suprasellar and olfactory groove meningiomas. / Lim, Kai Zheong; Goldschlager, Tony; Chandra, Ronil V.; Hall, Jonathan; Uren, Brent; Pullar, Michael.

In: Basic and Clinical Neuroscience, Vol. 7, No. 4, 2016, p. 361-365.

Research output: Contribution to journalArticleOtherpeer-review

TY - JOUR

T1 - Co-occurrence of pituitary adenoma with suprasellar and olfactory groove meningiomas

AU - Lim, Kai Zheong

AU - Goldschlager, Tony

AU - Chandra, Ronil V.

AU - Hall, Jonathan

AU - Uren, Brent

AU - Pullar, Michael

PY - 2016

Y1 - 2016

N2 - Introduction: The co-existence of pituitary adenoma and meningioma is extremely rare. It is even rarer in patients with no previous known risk factors for either tumour. Here, we present a case of synchronous non-functioning pituitary adenoma with suprasellar and olfactory groove meningiomas in a patient without previous irradiation. Methods: The tumours were diagnosed on MRI in the 65-year-old patient who presented with patchy visual deficits. The decision was made to undergo surgery for resection of the suprasellar meningioma and the pituitary adenoma, leaving the small olfactory groove meningioma intact. Extended endoscopic transsphenoidal surgery was performed. Results: Macroscopic clearance was achieved for pituitary macroadenoma and suprasellar meningioma. Postoperatively, visual field tsting and pituitary axis hormonal levels were normal. The pituitary macroadenoma was confirmed to be a non-functioning pituitary adenoma. The meningioma was diagnosed to be of WHO grade 1. Conclusion: The rationale for choosing such management option, including its risks and benefits in this challenging patient is discussed.

AB - Introduction: The co-existence of pituitary adenoma and meningioma is extremely rare. It is even rarer in patients with no previous known risk factors for either tumour. Here, we present a case of synchronous non-functioning pituitary adenoma with suprasellar and olfactory groove meningiomas in a patient without previous irradiation. Methods: The tumours were diagnosed on MRI in the 65-year-old patient who presented with patchy visual deficits. The decision was made to undergo surgery for resection of the suprasellar meningioma and the pituitary adenoma, leaving the small olfactory groove meningioma intact. Extended endoscopic transsphenoidal surgery was performed. Results: Macroscopic clearance was achieved for pituitary macroadenoma and suprasellar meningioma. Postoperatively, visual field tsting and pituitary axis hormonal levels were normal. The pituitary macroadenoma was confirmed to be a non-functioning pituitary adenoma. The meningioma was diagnosed to be of WHO grade 1. Conclusion: The rationale for choosing such management option, including its risks and benefits in this challenging patient is discussed.

KW - Endoscopic surgical procedure

KW - Multiple meningioma

KW - Olfactory groove meningioma

KW - Pituitary tumors

UR - http://www.scopus.com/inward/record.url?scp=84996528011&partnerID=8YFLogxK

U2 - 10.15412/J.BCN.03070409

DO - 10.15412/J.BCN.03070409

M3 - Article

VL - 7

SP - 361

EP - 365

JO - Basic and Clinical Neuroscience

JF - Basic and Clinical Neuroscience

SN - 2228-7442

IS - 4

ER -