TABLE 1.
Outcome | Value (%) |
---|---|
Radiographic EOR* | |
GTR (100%) | 40/47 (85.1) |
NTR (95–99%) | 6/47 (12.8) |
STR (<95%) | 1/47 (2.1) |
Progression or recurrence | 9/51 (17.6) |
Recurrence after GTR | 1/37 (2.7) |
Progression after NTR | 4/9 (44.4)† |
Progression after STR | 4/5 (80.0)‡ |
Management | |
Radiation | 4 |
Craniotomy | 3 |
Monitoring | 2 |
Median follow-up in mos, range | 35.0, 0–132 |
Postop visual outcome | |
Improved (preop deficit) | 31/46 (67.4)§ |
Stable (preop deficit) | 12/46 (26.1)§ |
Worse (all pts) | 3/51 (5.9) |
Adverse events | |
CSF leak | 5 (9.8) |
Infection | 6 (11.8) |
Long-term pituitary dysfunction¶ | |
Anterior | 2/49 (4.1) |
Posterior | 0/49 (0) |
Vascular injury | 1 (2) |
pts = patients.
Radiographic EOR among patients in whom GTR was the surgical goal.
For purposes of the analysis identifying predictors of EOR, NTR includes 3 cases in which there was a radiographic GTR but the surgeon prospectively noted a small intraoperative residual (6 + 3 = 9).
For purposes of the analysis identifying predictors of EOR, STR includes 4 patients in whom GTR was not the surgical goal (1 + 4 = 5).
Among patients with a preoperative visual deficit and postoperative follow-up.
Two patients had preoperative pituitary dysfunction in multiple axes, one of whom experienced improvement postoperatively.