Республиканский научный центр экстренной медицинской помощи, Ташкент, Узбекистан Result of surgical treatment of pituitary tumor apoplexy: strategies and results in a series of 89 consecutive patients Результаты хирургического лечения аденом гипофиза, осложненных питуитарной апоплексией: стратегия и результаты лечения в группе из 89 пациентов __________________________________________________________________________________________________________ Abstract Objective: apoplexy in pituitary tumor, resulting from the acute hemorrhage or infarction mainly in pituitary adenomas, is a rare yet major clinical event with neurological, ophthalmological and hormonal urgent consequences. <...> Methods: the 230 patients with pituitary tumor operated via transsphenoidal approach in our hospital between 2005–2015 and 89 cases with pituitary apoplexy were retrospectively analyzed. <...> The indications for urgent transsphenoidal surgery were as follows: mental deterioration, rapid visual loss and pituitary insufficiency. <...> Results: the mean age of patients (39 male and 50 female) was 38 years. <...> Pituitary apoplexy occurred as an initial manifestation of pituitary adenoma in all patients. <...> Headache was the most common presenting symptom (88.7%). <...> Visual disturbance was found in 49.4% of patients. 39.3% of the patients had hypopituitarism. <...> On magnetic resonance imaging (MRI), this catastrophic event accompanied with macroadenoma in a mean size of 26.5 mm. Conclusion: the differential approach based on the account of features of a clinical case, possible increase already available pathologic infringements and high level of technics of operative intervention is a basis for favorable results of treatment at pituitary adenomas. <...> Показаниями к экстренной транссфеноидальной аденомэктомии являлись: нарушения сознания, прогрессивное снижение зрения и развитие гипофизарной недостаточности. «Евразийский онкологический журнал», 2016, том 4, № 1 49 Result of surgical treatment of pituitary tumor apoplexy: strategies and results in a series of 89 consecutive patients Результаты: средний возраст пациентов (39 женщин и 50 мужчин) составил 38 лет. <...> The PA is potentially a life threatening pathology when the hemorrhage and/or necrosis results to significant sudden increase in mass of the tumor [8, 9]. <...> The authors performed a retrospective analysis to evaluate clinical presentation, postoperative courses, and pathological findings in a series of patients surgically treated for symptomatic pituitary apoplexy during last 10 <...>