Publications by authors named "B Force"
Epidural Interlay Graft for Pituitary Surgery: A 4-Year Institutional Experience.
J Neurol Surg B Skull Base
October 2024
Article Synopsis
- - The study investigates the effectiveness of a minimalistic sellar repair technique using an epidural interlay graft to prevent cerebrospinal fluid (CSF) leaks after endoscopic transsphenoidal pituitary surgery.
- - Out of 334 cases reviewed, intraoperative CSF leaks occurred in 34.7%, but only one postoperative leak was noted (0.3%), highlighting the technique's success and leading to a reduction in more complex repair strategies over time.
- - The study reports a 65% remission rate for functional macroadenomas, with the interlay graft being a reliable and effective solution, resulting in no postoperative CSF leaks in over 300 surgeries at the institution.
Diffuse thyroid lipomatosis (DTL) is a rare entity of unknown etiology that can be associated with amyloidosis and rarely, thyrotoxicosis. Here, we present a case of DTL with amyloid deposits and concurrent thyrotoxicosis. A 64-year-old South-Asian woman with a several-year history of an enlarging goiter, unintentional weight loss, and work-up 10 months prior suggestive of thyroiditis presented with a viral syndrome in setting of several weeks of progressive fatigue.
View Article and Find Full Text PDFObjective: Clinical paradigms and consensus recommend dopamine agonists (DAs) as the primary treatment for prolactinomas. However, medically treated patients also encounter challenges such as DA resistance, intolerable side effects, and recurrence of hyperprolactinemia after DA withdrawal. Technical advances in transsphenoidal resection, with an endoscopic endonasal approach, have led to improved visualization of tumor, decreased postoperative morbidity, and shortened length of stay.
View Article and Find Full Text PDFHypophysitis is primary or idiopathic or secondary to another disease process. The histologic subtypes of hypophysitis are lymphocytic, granulomatous, xanthomatous, xanthogranulomatous, or IgG4-related. Granulomatous hypophysitis is the second most common form and is characterized by multinucleated giant cells with granulomas and histiocytes.
View Article and Find Full Text PDFObjective: To assess the efficacy and tolerability of subcutaneous dihydroergotamine mesylate (DHE-45) vs subcutaneous sumatriptan succinate (Imitrex) for the treatment of acute migraine with or without aura.
Design: Double-blind, randomized trial with parallel treatment arms.
Setting: Clinics and private neurology practices.