{"id":"https://openalex.org/W7217133602","doi":null,"title":"Review Of Apoplectic Pituitary Macroadenomas In A Neurosurgical Centre","display_name":"Review Of Apoplectic Pituitary Macroadenomas In A Neurosurgical Centre","publication_year":2022,"publication_date":"2022-12-10","ids":{"openalex":"https://openalex.org/W7217133602"},"language":"en","primary_location":{"id":"pmh:oai:theeajns.org:article/189","doi":null,"is_oa":true,"landing_page_url":"https://theeajns.org/index.php/index/article/view/189","pdf_url":null,"source":{"id":"https://openalex.org/S5407037507","display_name":"East African Journal of Neurological Sciences","issn_l":"2957-4315","issn":["2957-4315","2957-4323"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":"https://openalex.org/P4310321518","host_organization_name":"African Journals OnLine","host_organization_lineage":["https://openalex.org/P4310321518"],"host_organization_lineage_names":["African Journals OnLine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2957-4315","raw_type":"info:eu-repo/semantics/article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://theeajns.org/index.php/index/article/view/189","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5154437654","display_name":"SD Achebe","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Achebe, SD","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088946039","display_name":"CA Ndubuisi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ndubuisi, CA","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093451158","display_name":"Sunday Nnama","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nnama, S","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5155521198","display_name":"O Okwunodulu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Okwunodulu, O","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5154368806","display_name":"SC Ohaegbulam","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ohaegbulam, SC","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.3816291,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11251","display_name":"Meningioma and schwannoma management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10754","display_name":"Neuroendocrine Tumor Research Advances","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pituitary-apoplexy","display_name":"pituitary apoplexy","score":0.9950000047683716},{"id":"https://openalex.org/keywords/pituitary-macroadenoma","display_name":"pituitary macroadenoma","score":0.9430000185966492},{"id":"https://openalex.org/keywords/visual-acuity-outcomes","display_name":"visual acuity outcomes","score":0.6890000104904175},{"id":"https://openalex.org/keywords/prolactinoma","display_name":"prolactinoma","score":0.9959999918937683},{"id":"https://openalex.org/keywords/diabetes-insipidus","display_name":"diabetes insipidus","score":0.9900000095367432},{"id":"https://openalex.org/keywords/tumor-resection","display_name":"tumor resection","score":0.6309999823570251},{"id":"https://openalex.org/keywords/postoperative-outcomes","display_name":"postoperative outcomes","score":0.4970000088214874}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8880000114440918},{"id":"https://openalex.org/C2777637523","wikidata":"https://www.wikidata.org/wiki/Q991538","display_name":"Pituitary apoplexy","level":4,"score":0.7598999738693237},{"id":"https://openalex.org/C2781449511","wikidata":"https://www.wikidata.org/wiki/Q864296","display_name":"Pituitary tumors","level":2,"score":0.6453999876976013},{"id":"https://openalex.org/C2778257484","wikidata":"https://www.wikidata.org/wiki/Q555066","display_name":"Visual acuity","level":2,"score":0.5823000073432922},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5139999985694885},{"id":"https://openalex.org/C2778918492","wikidata":"https://www.wikidata.org/wiki/Q954831","display_name":"Prolactinoma","level":4,"score":0.45080000162124634},{"id":"https://openalex.org/C17624336","wikidata":"https://www.wikidata.org/wiki/Q461644","display_name":"Glasgow Coma Scale","level":2,"score":0.4296000003814697},{"id":"https://openalex.org/C2908910360","wikidata":"https://www.wikidata.org/wiki/Q7199538","display_name":"Pituitary neoplasm","level":4,"score":0.414000004529953},{"id":"https://openalex.org/C2779318953","wikidata":"https://www.wikidata.org/wiki/Q864296","display_name":"Pituitary adenoma","level":3,"score":0.41110000014305115},{"id":"https://openalex.org/C100136789","wikidata":"https://www.wikidata.org/wiki/Q1772448","display_name":"Coma (optics)","level":2,"score":0.39160001277923584},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.38909998536109924},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.36469998955726624},{"id":"https://openalex.org/C2778491484","wikidata":"https://www.wikidata.org/wiki/Q922411","display_name":"Hypopituitarism","level":2,"score":0.36239999532699585},{"id":"https://openalex.org/C2781372952","wikidata":"https://www.wikidata.org/wiki/Q737460","display_name":"Visual impairment","level":2,"score":0.30970001220703125},{"id":"https://openalex.org/C2781437307","wikidata":"https://www.wikidata.org/wiki/Q977628","display_name":"Microsurgery","level":2,"score":0.30809998512268066},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.2994999885559082},{"id":"https://openalex.org/C3019236073","wikidata":"https://www.wikidata.org/wiki/Q1052281","display_name":"Male to female","level":3,"score":0.28600001335144043},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2842999994754791},{"id":"https://openalex.org/C12770488","wikidata":"https://www.wikidata.org/wiki/Q188449","display_name":"Neurosurgery","level":2,"score":0.2806999981403351},{"id":"https://openalex.org/C2992234860","wikidata":"https://www.wikidata.org/wiki/Q618211","display_name":"Eye care","level":2,"score":0.27410000562667847},{"id":"https://openalex.org/C2777658017","wikidata":"https://www.wikidata.org/wiki/Q156871","display_name":"Pituitary gland","level":3,"score":0.2680000066757202}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:theeajns.org:article/189","doi":null,"is_oa":true,"landing_page_url":"https://theeajns.org/index.php/index/article/view/189","pdf_url":null,"source":{"id":"https://openalex.org/S5407037507","display_name":"East African Journal of Neurological Sciences","issn_l":"2957-4315","issn":["2957-4315","2957-4323"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":"https://openalex.org/P4310321518","host_organization_name":"African Journals OnLine","host_organization_lineage":["https://openalex.org/P4310321518"],"host_organization_lineage_names":["African Journals OnLine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2957-4315","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:theeajns.org:article/189","doi":null,"is_oa":true,"landing_page_url":"https://theeajns.org/index.php/index/article/view/189","pdf_url":null,"source":{"id":"https://openalex.org/S5407037507","display_name":"East African Journal of Neurological Sciences","issn_l":"2957-4315","issn":["2957-4315","2957-4323"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":"https://openalex.org/P4310321518","host_organization_name":"African Journals OnLine","host_organization_lineage":["https://openalex.org/P4310321518"],"host_organization_lineage_names":["African Journals OnLine"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2957-4315","raw_type":"info:eu-repo/semantics/article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2922404761","https://openalex.org/W2015729043","https://openalex.org/W7054897821","https://openalex.org/W4367174229","https://openalex.org/W7213224065","https://openalex.org/W2017094819","https://openalex.org/W2883170233","https://openalex.org/W4398255902","https://openalex.org/W2127252553","https://openalex.org/W2618539778"],"abstract_inverted_index":{"Introduction:":[0],"Pituitary":[1,196],"apoplexy":[2,197],"is":[3],"potentially":[4],"disastrous,":[5],"causing":[6],"severe":[7],"headache,":[8],"sudden":[9],"visual":[10,156],"decline,":[11],"and":[12,18,24,32,52,83,172,184,210],"loss":[13],"of":[14,34,45,48,59,99,158,176,201],"consciousness.":[15],"Emergency":[16],"surgery":[17],"expert":[19],"care":[20],"would":[21,207],"save":[22,208],"life":[23,209],"vision.":[25,212],"This":[26],"study":[27],"examined":[28],"the":[29,111,199],"presentation,":[30],"treatment":[31],"outcome":[33],"patients":[35,106,118,125,139,150,154,191,202],"with":[36,39,94,203],"pituitary":[37,56,61,204],"macro-adenomas":[38],"apoplexy.":[40],"Methodology:":[41],"A":[42],"retrospective":[43],"review":[44],"case":[46],"folders":[47],"26":[49],"clinically,":[50],"radiologically":[51],"histologically":[53],"confirmed":[54],"apoplectic":[55],"macroadenomas":[57,62],"out":[58],"100":[60],"managed":[63],"at":[64,160],"Memfys":[65],"Hospital,":[66],"Enugu":[67],"Nigeria.":[68],"Data":[69],"were":[70,86],"collected":[71],"over":[72],"a":[73],"20":[74],"-year":[75],"period.":[76],"The":[77],"age,":[78],"sex,":[79],"symptoms,":[80],"tumor":[81,130,179,187],"diameter,":[82],"post-operative":[84],"outcomes":[85],"recorded.":[87],"Results:":[88],"Mean":[89],"age":[90],"was":[91,103,114,132,144,167,181,188],"49.4":[92],"years":[93],"male":[95],"to":[96],"female":[97],"ratio":[98],"1.9:1.":[100],"Commonest":[101,178],"symptom":[102],"headache":[104],"(22":[105],"[84.4%].":[107],"Visual":[108],"acuity":[109,157],"in":[110,116,137,146,170,174],"better":[112],"eye":[113],"NPL":[115],"eight":[117],"(30.8%),":[119],"none":[120],"6/6":[121,159],"or":[122],"6/9.":[123],"Nineteen":[124],"had":[126,155,192],"non-functional":[127],"tumors.":[128,205],"Average":[129],"diameter":[131],"4.1cm.":[133],"Hormonal":[134],"derangement":[135],"occurred":[136],"21":[138],"(80.7%).":[140],"Gross":[141],"total":[142],"resection":[143],"achieved":[145],"16":[147],"patients.":[148,177],"Four":[149,153],"(15.38%)":[151],"died.":[152],"six":[161],"months":[162],"post-operatively.":[163],"Glasgow":[164],"coma":[165],"score":[166],"15/15":[168],"pre-operatively":[169],"80.8%,":[171],"post-operatively":[173],"95.4%":[175],"type":[180],"basophil":[182],"adenoma,":[183],"commonest":[185],"functional":[186],"prolactinoma.":[189],"Fourteen":[190],"diabetes":[193],"insipidus.":[194],"Conclusion:":[195],"worsens":[198],"profile":[200],"Surgery":[206],"restore":[211]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-10-03T00:00:00"}
