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Updated: Jun 14, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Cognitive function in pituitary adenoma patients: A cross-sectional study.
David Krabbe1,2, Katharina S Sunnerhagen1,2, Daniel S Olsson3,4,5
1Department of Rehabilitation Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Pituitary adenoma impacts cognitive function, with factors like sex, education, and fatigue influencing outcomes. Further research is needed to fully understand these cognitive effects.
Area of Science:
- Neuroscience
- Endocrinology
- Psychology
Background:
- Pituitary adenomas can affect cognitive function due to tumor characteristics and hormonal imbalances.
- Transsphenoidal surgery (TSS) is a common treatment, but its long-term cognitive impact requires further investigation.
Purpose of the Study:
- To evaluate cognitive function in patients with pituitary adenoma.
- To identify factors associated with cognitive impairment in this patient group.
Main Methods:
- Cross-sectional study involving 68 patients with pituitary adenoma.
- Cognitive function assessed using the Repeatable Battery for the Assessment of Neuropsychological Status.
- Linear regression analysis used to identify influencing factors.
Main Results:
- Patients with pituitary adenoma demonstrated lower cognitive scores compared to normative data.
- Cognitive variability was significantly associated with sex, educational level, and self-perceived fatigue.
- Pituitary hormone deficiencies, diabetes insipidus, and surgical treatment did not significantly explain cognitive variability.
Conclusions:
- Pituitary adenoma adversely affects cognitive function.
- Sex, education, and fatigue are key factors influencing cognition in these patients.
- Longitudinal studies are recommended for a deeper understanding of cognitive changes.
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