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Updated: Feb 25, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
S Chiloiro1, A Giampietro1, A Bianchi1
1Pituitary Unit, Department of Endocrinology.
Primary empty sella (PES) involves pituitary gland changes due to herniated brain tissue. While often asymptomatic, PES syndrome can cause headaches, vision problems, and hormonal issues, requiring multidisciplinary care.
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