Craniocaudal extension as an indication of surgical outcome in transsphenoidal surgery for pituitary adenomas.

Transsphenoidal approach is considered the treatment of choice for pituitary adenoma removal. Suprasellar extension is regarded a drawback for complete removal of these tumors through this approach. Evaluate the correlation between the preoperative radiologic craniocaudal extension on MRI of pituitary adenomas and the extent of tumor removal.

Diagnostic performance of the medial hamstring reflex in L5 radiculopathy.

Background: An avalanche of literature exists on almost every aspect of lumbar disc pathology but very limited studies have quantified the diagnostic performance of elements of clinical examination in predicting disc level, meticulously collated the reflex changes in lumbar disc herniation (LDH) as well as assessed the diagnostic performance of the medial hamstring reflex (MHR). Our study underscores the diagnostic performance of the MHR in L5 radiculopathy comparing its diagnostic power to that of the knee and ankle reflexes.

Methods: One hundred consecutive patients operated for de novo LDH in our department between January and December 2011 were prospectively followed-up.