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Updated: Mar 28, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Pituitary Macroadenoma Presenting with Multiple Psychiatric Complications
Mamta Sood1, Bichitra Nanda Patra1, Alok Agrawal1
1Department of Psychiatry, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Pituitary macroadenoma caused complex physical and psychiatric issues, presenting diagnostic and management challenges. Interdisciplinary collaboration successfully managed this challenging case.
Area of Science:
- Endocrinology
- Neurosurgery
- Psychiatry
Background:
- Pituitary macroadenomas can present with diverse and complex clinical manifestations.
- Co-occurrence of physical and psychiatric complications poses diagnostic and therapeutic challenges.
Observation:
- A patient presented with a pituitary macroadenoma exhibiting multiple physical and psychiatric sequelae.
- The case represented a significant diagnostic dilemma for neurosurgery, endocrinology, and psychiatry teams.
Findings:
- A pragmatic, interdisciplinary approach was crucial for managing the patient's multifaceted condition.
- Successful management was achieved through collaboration between neurosurgery, endocrinology, and psychiatry.
Implications:
- Highlights the importance of integrated care models for complex pituitary adenoma cases.
- Demonstrates the effectiveness of multidisciplinary teams in addressing challenging neuroendocrine and psychiatric comorbidities.
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