Updates in Acromegaly: Innovations in Surgical Technique Leading to Improved Outcomes

Tuesday, September 1, 2020, 12:00 AM - Wednesday, September 1, 2021, 12:00 AM

Internet Enduring Material sponsored by the Stanford University School of Medicine. Presented by the Department of Neurosurgery at the Stanford University School of Medicine. 

Acromegaly is a rare disease, caused largely by a growth hormone (GH) pituitary adenoma. Incidence is higher than previously thought. Due to increased morbidity and mortality, early diagnosis efforts are essential. Screening is recommended for all patients with clinical features of GH excess. There is increased knowledge that classical diagnostic criteria no longer apply to all, and some patients can have GH excess with normal GH response to glucose. Treatment is multifactorial and personalized therapy is advised. This video provides an update on acromegaly and how surgical innovation has led to better care for patients.

  Release Date: September 1, 2020
  Expiration Date: September 1, 2021
  Estimated Time to Complete: 17 minutes
  Registration Fee: FREE

AMA PRA Category 1 Credits™ (0.25 hours), Non-Physician Participation Credit (0.25 hours)

1. Review innovative surgical techniques, including resection of the medial wall of the cavernous sinus
2. Evaluate endocrinological outcomes and surgical complications.
3. Determine appropriate treatment options for this condition, including surgery, medical and radiation therapies.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Credit Designation American Medical Association (AMA) Stanford Medicine designates this Enduring Material for a maximum of 0.25 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Bibliography

The medial wall of the cavernous sinus. Part 1: Surgical anatomy, ligaments, and surgical technique for its mobilization and/or resection. Journal of neurosurgery
Truong, H. Q., Lieber, S., Najera, E., Alves-Belo, J. T., Gardner, P. A., Fernandez-Miranda, J. C.
2018: 1–9

The medial wall of the cavernous sinus. Part 2: Selective medial wall resection in 50 pituitary adenoma patients. Journal of neurosurgery
Cohen-Cohen, S., Gardner, P. A., Alves-Belo, J. T., Truong, H. Q., Snyderman, C. H., Wang, E. W., Fernandez-Miranda, J. C.
2018: 1–10

Endoscopic endonasal approach for growth hormone secreting pituitary adenomas: outcomes in 53 patients using 2010 consensus criteria for remission PITUITARY
Shin, S. S., Tormenti, M. J., Paluzzi, A., Rothfus, W. E., Chang, Y., Zainah, H., Fernandez-Miranda, J. C., Snyderman, C. H., Challinor, S. M., Gardner, P. A.
2013; 16 (4): 435–44

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