Turkish Neurosurgery 2014 , Vol 24 , Num 6
Pituitary Stone: A Case Report and Review of the Literature
1Istanbul University, Cerrahpasa Medical Faculty, Department of Neurosurgery, Istanbul, Turkey
2Istanbul University, Cerrahpasa Medical Faculty, Internal Medicine, Division of Endocrinology, Istanbul, Turkey
3Istanbul University, Cerrahpasa Medical Faculty, Department of Pathology, Istanbul, Turkey
DOI : 10.5137/1019-5149.JTN.9688-13.0 A 39-year-old male without any significant complaints or symptoms presented with a calcified lesion located at the sellar region. Total removal of the lesion has been achieved via an endoscopic endonasal transsphenoidal approach. Histopathological examination of the lesion revealed a pituitary stone.

This report describes the first pituitary stone formed within a plurihormonal pituitary adenoma and also differs from previous studies in means of chosen surgical method that is the first endoscopic approach to a pituitary stone. Additionally, by reviewing previous cases, a classification has been proposed and possible pathophysiological mechanisms behind this rare entity have been discussed. Keywords : Neuro-endoscopy, Pituitary adenoma, Pituitary stone, Prolactinoma, Transsphenoidal route

Corresponding author : Necmettin Tanrıover, nctan27@yahoo.com