{"id":"d8f7b94b-58d0-43f6-9591-1e8227b730f1","slug":"the-impact-of-surgical-timing-on-visual-outcome-in-pituitary-apoplexy-literature-review-and-case-illustration","title":"The impact of surgical timing on visual outcome in pituitary apoplexy: Literature review and case illustration","authors":["Arif Abdulbaki","Imad Kanaan"],"abstract":"Background: Neuro-ophthalmologic signs are common clinical manifestations of pituitary apoplexy. Managing sudden visual loss is critical for achieving a good outcome. The timing of pituitary surgery remains controversial. In fact, various points of view have been reported in the literature. Methods: We reviewed the impact of surgical intervention timing on visual outcome. The surgical intervention time was classified as urgent, early, intermediate, and late interventions based on the literature review. We report a case of a 40-year-old male patient who presented with headache and sudden visual loss for 3 days. He was diagnosed with pituitary apoplexy and had transnasal-transsphenoidal resection. Three days later, he achieved a complete recovery of his vision. Results: This paper is an addition to several studies that favor early surgical decompression of pituitary fossa for apoplexy cases with severe neuro-ophthalmologic involvement. There is an increasing trend for early surgical intervention for pituitary apoplexy in the literature, especially for severe visual deterioration. Conclusion: The visual outcome appears to be better in early intervention as compared to late. Nevertheless, good visual recovery is also seen in late surgical intervention.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d8f7b94b-58d0-43f6-9591-1e8227b730f1/featured/hero-1782420873813.png","publishDate":"2017-02-06T00:00:00.000Z","doi":"10.4103/2152-7806.199557","categories":["Skull Base","Review Article"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2017/03/8297/SNI-8-16.pdf"}