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Managing the Patient With Transsphenoidal Pituitary Tumor Resection

Yuan, Wen

Journal of Neuroscience Nursing: April 2013 - Volume 45 - Issue 2 - p 101–107
doi: 10.1097/JNN.0b013e3182828e28

ABSTRACT Patients who undergo transsphenoidal pituitary tumor resection require a multidisciplinary team approach, consisting of a neurosurgeon, an endocrinologist, and nurses. Successful transsphenoidal surgery needs expert nursing care for early identification and prompt treatment of pituitary dysfunction and neurosurgical complications. Pituitary dysfunction includes adrenal insufficiency, diabetes insipidus, syndrome of inappropriate antidiuretic hormone, and cerebral salt wasting syndrome. Neurosurgical complications may include visual disturbance, cerebrospinal fluid leak, subdural hematoma, and epistaxis.

Questions or comments about this article may be directed to Wen Yuan, RN ACNP-C MSN, at She is an Acute Care Nurse Practitioner at Kaiser Permanente Foundation Hospitals, Los Angeles Medical Center, Los Angeles, CA.

The author declares no conflicts of interest.

© 2013 American Association of Neuroscience Nurses