Pituitary apoplexy outcome
Mass effect may occur suddenly as a result of tumor expansion with pituitary apoplexy
The visual acuity outcome after pituitary apoplexy appears to be better in early intervention as compared to late. Nevertheless, good visual recovery is also seen in late surgical intervention 1).
The timing of surgical intervention relative to the onset of symptoms does not appear to significantly affect the resolution of neurological or endocrinological deficits 2).
The outcome of most patients with pituitary apoplexy is excellent. Selected patients can be managed conservatively, and patients with severe neuro-ophthalmological deficits treated with early surgery can achieve an excellent recovery 3).
Normal and high preoperative PRL levels are associated with better endocrine outcome after surgery. The patients benefit from surgical intervention even after delayed diagnosis with the serum PRL levels is being a valid biomarker for clinical decision making 4).