How to treat pituitary tumor with acute stroke

Pituitary stroke is mainly caused by pituitary adenomas and is more common in male patients. Studies have shown that pituitary adenomas account for 25% of all strokes and stromal tumors account for 50%. When the growth of pituitary tumors exceeds the level of blood supply, the tumor tissue will experience ischemia and necrosis, further causing bleeding, leading to pituitary stroke. What about acute stroke caused by pituitary tumor rods?

1. Hormone replacement therapy: Pituitary tumors with acute stroke are very dangerous. Patients will experience increased intracranial pressure, meningeal irritation, compression symptoms, etc., manifested as vision loss, visual impairment, and serious life-threatening conditions. Hormone replacement therapy is required in a timely manner. If there is diabetes insipidus or abnormal secretion of antidiuretic hormone, water and salt metabolism needs to be tested. During the treatment process, water and electrolyte balance should be maintained to enhance the patient's stress tolerance and reduce edema symptoms.

2. Surgical treatment: Severe increase in intracranial pressure, sharp decrease in vision, coma, etc. should be treated with surgery in a timely manner. The main surgical method for treating the disease is the butterfly approach. Although the tumor is relatively large and grows on the sella turcica, most of the tissue is necrotic and the bleeding is easily absorbed without pulling the brain tissue. Surgery can quickly restore the patient's vision, relieve neurological dysfunction, and reduce the risk of recurrence. Before surgery, a detailed examination is required to determine the bleeding in and on the sella turcica to provide important information for the success of the operation.

The above are the treatment methods for pituitary tumors with acute stroke, including hormone replacement therapy, surgical treatment, etc. Pituitary tumors are the main cause of pituitary stroke, develop rapidly, and are extremely harmful. When patients undergo imaging examinations, it can be found that the sella turcica is enlarged, the sellar floor is thinned, the pituitary density is low, and the peripheral enhancement is enhanced. Endocrine measurements can reveal a decrease in pituitary trophic hormones. In order to prevent this disease, patients must actively receive treatment for pituitary tumors, and regardless of whether the tumor is benign or malignant, they should undergo surgery in a timely manner.