Pituitary neurologic surgery: A unique subspecialty in evolution

John L D Atkinson, Todd B. Nippoldt

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To review the evolving approaches to surgical management of pituitary tumors during the past century which may predict future directions. Methods: We undertook a retrospective review of selected literature published during the past century and report the trends in the treatment of pituitary tumors. Results: Harvey Cushing's extraordinary influence on American neurosurgery and remarkably successful pituitary surgical series were the foundation for the development of a highly subspecialized neurosurgical operative field. Continued evolution in the treatment of pituitary tumors has been historically based on the following: (1) the development of exogenous cortisone and vasopressin; (2) the development of high-voltage and nuclear radiation therapy; (3) the experience gained from total hypophysectomy for "endocrine" driven malignant lesions and diabetic retinopathy; (4) the development of the image intensifier and television intraoperative fluoroscopic control; (5) the use of endoscopes in pituitary surgical procedures; (6) the application of the operating microscope to transsphenoidal approaches; (7) the development of the imaging modalities of computed tomographic scanning and subsequent magnetic resonance imaging; and (8) the concepts surrounding "minimally invasive" surgical techniques. Conclusion: The pituitary surgical techniques of today have evolved primarily because of extraordinary past accomplishments. The approaches used continue to maximize tumor resection and preserve functioning pituitary tissue. New intraoperative imaging techniques will forge the future of the field of pituitary neurosurgery, and the expected outcomes will be improved surgical success and lower perioperative morbidity.

Original languageEnglish (US)
Pages (from-to)356-361
Number of pages6
JournalEndocrine Practice
Volume8
Issue number5
StatePublished - Sep 2002

Fingerprint

Pituitary Neoplasms
Nervous System
Neurosurgery
Hypophysectomy
Endoscopes
Cortisone
Television
Diabetic Retinopathy
Vasopressins
Radiotherapy
Magnetic Resonance Imaging
Morbidity
Therapeutics
Neoplasms

ASJC Scopus subject areas

  • Endocrinology

Cite this

Atkinson, J. L. D., & Nippoldt, T. B. (2002). Pituitary neurologic surgery: A unique subspecialty in evolution. Endocrine Practice, 8(5), 356-361.

Pituitary neurologic surgery : A unique subspecialty in evolution. / Atkinson, John L D; Nippoldt, Todd B.

In: Endocrine Practice, Vol. 8, No. 5, 09.2002, p. 356-361.

Research output: Contribution to journalArticle

Atkinson, JLD & Nippoldt, TB 2002, 'Pituitary neurologic surgery: A unique subspecialty in evolution', Endocrine Practice, vol. 8, no. 5, pp. 356-361.
Atkinson, John L D ; Nippoldt, Todd B. / Pituitary neurologic surgery : A unique subspecialty in evolution. In: Endocrine Practice. 2002 ; Vol. 8, No. 5. pp. 356-361.
@article{1eaa946379274497a695890b4fc8a9ff,
title = "Pituitary neurologic surgery: A unique subspecialty in evolution",
abstract = "Objective: To review the evolving approaches to surgical management of pituitary tumors during the past century which may predict future directions. Methods: We undertook a retrospective review of selected literature published during the past century and report the trends in the treatment of pituitary tumors. Results: Harvey Cushing's extraordinary influence on American neurosurgery and remarkably successful pituitary surgical series were the foundation for the development of a highly subspecialized neurosurgical operative field. Continued evolution in the treatment of pituitary tumors has been historically based on the following: (1) the development of exogenous cortisone and vasopressin; (2) the development of high-voltage and nuclear radiation therapy; (3) the experience gained from total hypophysectomy for {"}endocrine{"} driven malignant lesions and diabetic retinopathy; (4) the development of the image intensifier and television intraoperative fluoroscopic control; (5) the use of endoscopes in pituitary surgical procedures; (6) the application of the operating microscope to transsphenoidal approaches; (7) the development of the imaging modalities of computed tomographic scanning and subsequent magnetic resonance imaging; and (8) the concepts surrounding {"}minimally invasive{"} surgical techniques. Conclusion: The pituitary surgical techniques of today have evolved primarily because of extraordinary past accomplishments. The approaches used continue to maximize tumor resection and preserve functioning pituitary tissue. New intraoperative imaging techniques will forge the future of the field of pituitary neurosurgery, and the expected outcomes will be improved surgical success and lower perioperative morbidity.",
author = "Atkinson, {John L D} and Nippoldt, {Todd B.}",
year = "2002",
month = "9",
language = "English (US)",
volume = "8",
pages = "356--361",
journal = "Endocrine Practice",
issn = "1530-891X",
publisher = "American Association of Clinical Endocrinology",
number = "5",

}

TY - JOUR

T1 - Pituitary neurologic surgery

T2 - A unique subspecialty in evolution

AU - Atkinson, John L D

AU - Nippoldt, Todd B.

PY - 2002/9

Y1 - 2002/9

N2 - Objective: To review the evolving approaches to surgical management of pituitary tumors during the past century which may predict future directions. Methods: We undertook a retrospective review of selected literature published during the past century and report the trends in the treatment of pituitary tumors. Results: Harvey Cushing's extraordinary influence on American neurosurgery and remarkably successful pituitary surgical series were the foundation for the development of a highly subspecialized neurosurgical operative field. Continued evolution in the treatment of pituitary tumors has been historically based on the following: (1) the development of exogenous cortisone and vasopressin; (2) the development of high-voltage and nuclear radiation therapy; (3) the experience gained from total hypophysectomy for "endocrine" driven malignant lesions and diabetic retinopathy; (4) the development of the image intensifier and television intraoperative fluoroscopic control; (5) the use of endoscopes in pituitary surgical procedures; (6) the application of the operating microscope to transsphenoidal approaches; (7) the development of the imaging modalities of computed tomographic scanning and subsequent magnetic resonance imaging; and (8) the concepts surrounding "minimally invasive" surgical techniques. Conclusion: The pituitary surgical techniques of today have evolved primarily because of extraordinary past accomplishments. The approaches used continue to maximize tumor resection and preserve functioning pituitary tissue. New intraoperative imaging techniques will forge the future of the field of pituitary neurosurgery, and the expected outcomes will be improved surgical success and lower perioperative morbidity.

AB - Objective: To review the evolving approaches to surgical management of pituitary tumors during the past century which may predict future directions. Methods: We undertook a retrospective review of selected literature published during the past century and report the trends in the treatment of pituitary tumors. Results: Harvey Cushing's extraordinary influence on American neurosurgery and remarkably successful pituitary surgical series were the foundation for the development of a highly subspecialized neurosurgical operative field. Continued evolution in the treatment of pituitary tumors has been historically based on the following: (1) the development of exogenous cortisone and vasopressin; (2) the development of high-voltage and nuclear radiation therapy; (3) the experience gained from total hypophysectomy for "endocrine" driven malignant lesions and diabetic retinopathy; (4) the development of the image intensifier and television intraoperative fluoroscopic control; (5) the use of endoscopes in pituitary surgical procedures; (6) the application of the operating microscope to transsphenoidal approaches; (7) the development of the imaging modalities of computed tomographic scanning and subsequent magnetic resonance imaging; and (8) the concepts surrounding "minimally invasive" surgical techniques. Conclusion: The pituitary surgical techniques of today have evolved primarily because of extraordinary past accomplishments. The approaches used continue to maximize tumor resection and preserve functioning pituitary tissue. New intraoperative imaging techniques will forge the future of the field of pituitary neurosurgery, and the expected outcomes will be improved surgical success and lower perioperative morbidity.

UR - http://www.scopus.com/inward/record.url?scp=0036740503&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036740503&partnerID=8YFLogxK

M3 - Article

C2 - 15251838

AN - SCOPUS:0036740503

VL - 8

SP - 356

EP - 361

JO - Endocrine Practice

JF - Endocrine Practice

SN - 1530-891X

IS - 5

ER -