Non-functioning Pituitary Adenoma Database: A Useful Resource to Improve The Clinical Management of Pituitary Tumors. 1476-510.įerrante E, Ferraroni M, Castrignano T, Menicatti L, Anagni M, et al. Neurological Surgery Six Editions Chapter 134. Pituitary Tumors: Functioning and Non-fungtioning. The provision of preoperative hormone replacement therapy aims to correct hormonal imbalances that can be an intraoperative complication The patient was planned to undergo an Endoscopic Endonasal Excision Tumor surgery with 125 mg/12 hour preoperative injection of methilprednisolon. Hormone replacement therapy was performed by administering methilprednisolone tablets 16 mg-0-8 mg and levothyroxine tablets 1 x 50 g. After diagnostic steps, the patient is diagnosed with a residual pituitary adenoma tumor with hypocortisol and hypothyroidism. The patient had previously been diagnosed with a pituitary tumor 6 years ago and had surgery. We report a case of 57-year-old male with complaints of decreased vision since 3.5 months. This emphasis will manifest in hyposecretion of the hormones produced in the pituitary. If the size of the tumor is > 1 cm, the pituitary tumor is called a macroadenoma, the large size will have a mass effect so that there is an emphasis on the tumor area and its surroundings. Pituitary tumors are benign tumors that occur in the pituitary gland with a presentation of 10% of all intracranial tumors.