1. Education treatment of the pituitary adenomas Prof. Elyshar, Dr Spektor, Dr Margolin

2. Our education in the endoscopic transsphenoid surgery is 98 operation. 20 14 20 13 20 12 20 11 20 10 20 09 131925201211 sur ger y

3. Removal pituitary adenomas 73 41non functional 25functional 7apoplexy

4. Presentation of the non functional macro P.A. 20headache 31 vision disturbances 10accidently

5. Degree removal of the non functional P.A. 17gross total 24partial

6. Result Visual improvement 26 No improvement 5 normal vision before and after 10

7. Complication CSF leaked 7 DI 2 Bleeding 2 Panhypopituitarism 2 Reoperation 2

8. Case 1

9. Case 2

10. Case 3

11. Case 4

12. Functional P.A. 25 Cushing 6 Acromegaly 12 Prolactinoma 5 TSH 1 FSH 1

13. Improvement functional P.A. Cushing Acromegaly Prolactinomas TSH FSH

14. Apoplexy Non functional P.A. 4 Functional P.A. 3

15. Presentation of the apoplexy Visual deterioration 4 Strabismus 4 Ophthalmoplgy 2 Headache 7 Coma 1

16. Result Visual improvement 3 Nerves 3, 4, 6 improvement 3 One eye blind 1

17. Case 1

18. Case 2

19. Case 3

21. Non surgical treatment giant prolactinomas

22. Non surgical treatment giant prolactinomas 5 patients