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Updated: Oct 29, 2025

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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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The snowman sign in a patient with pituitary tumor apoplexy
Khulood Bukhari1, Vandhna Sharma2, Sonia Gupta3
1Department of Medicine, University of Maryland Medical Center Midtown Campus, Baltimore, Maryland, USA.
Abstract:
Pituitary apoplexy is a life-threatening complication that may result from hemorrhage or infarction of a pituitary adenoma. Neuroimaging may reveal a snowman-like or 'figure of 8' configuration as a result of bilateral indentation of the tumor by the sellar diaphragm.

