Journal
CHILDS NERVOUS SYSTEM
Volume 35, Issue 11, Pages 2107-2118Publisher
SPRINGER
DOI: 10.1007/s00381-019-04293-y
Keywords
Skull base; Pediatric; Endonasal; Pituitary adenoma
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Background Pediatric pituitary adenomas are a rare medical entity that makes up a small portion of intracranial tumors in children and adolescents. Although benign, the majority of these lesions are secreting functional tumors with the potential for physiological sequela that can profoundly affect a child's development. Focus of Review In this review, we discuss the medical and surgical management of these tumors with a focus on clinical presentation, diagnostic identification, surgical approach, and associated adjuvant therapies. We will also discuss our current treatment paradigm using endoscopic, open, and combined approaches to treat these tumors. Summary The management of pituitary tumors requires a multidisciplinary team of surgeons, endocrinologists, and neuroanesthesiologists as well as neurocritical care specialists to deliver comprehensive care.
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