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Updated: Aug 24, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Intra-suprasellar meningioma mimicking pituitary apoplexy
M Orakdöğeny1, S Karadereler, Z Berkman
1Department of Neurosurgery, Haydarpaş a Numune Education and Research Hospital, Usküdar, Istanbul, Turkey. morakdogen@ins.itu.edu.tr
Abstract:
The clinical and radiological features of an intra-suprasellar meningioma diagnosed as a pituitary macro-adenoma are presented. It is emphasized that this unusual tumour can mimic pituitary apoplexy. Differential diagnosis and surgical treatment of intrasellar meningioma versus pituitary adenoma are discussed with a review of the literature.
Insights
This study highlights an unusual intra-suprasellar meningioma that can mimic pituitary apoplexy, emphasizing the importance of accurate differential diagnosis for effective surgical treatment.
Area of Science:
- Neuro-oncology
- Endocrinology
- Neurosurgery
Background:
- Pituitary adenomas are common pituitary tumors.
- Intra-suprasellar meningiomas are rare tumors in this region.
- Distinguishing between these two can be challenging.
Observation:
- Presents clinical and radiological features of an intra-suprasellar meningioma.
- This tumor mimicked pituitary apoplexy.
- Highlights diagnostic challenges.
Findings:
- Intra-suprasellar meningioma can present similarly to pituitary adenoma.
- Pituitary apoplexy is a potential misdiagnosis.
- Literature review supports differential diagnosis strategies.
Implications:
- Accurate diagnosis is crucial for appropriate surgical management.
- Understanding mimetic features aids in differentiating meningioma from pituitary adenoma.
- Improves patient outcomes through timely and correct treatment.
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