Pituitary Entry Zone: Newly Midline Hypovascular Area in Pituitary Gland

This study identifies a distinct zone of relative hypovascularity along the sagittal midline of the human pituitary gland, which we propose naming the pituitary entry zone. This anatomical finding offers a potential histologic basis for the observed preservation of pituitary function after midline surgical approaches. While limited by a small sample size, these results highlight a previously under-characterized aspect of pituitary angioarchitecture that may represent a safer corridor for surgical intervention. Further investigation correlating this anatomical finding with postoperative outcomes is warranted.

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Publication Details

Journal
World Neurosurgery
Published
2025-12-27
DOI
https://doi.org/10.1016/j.wneu.2025.124768
Primary Topic
Pituitary Gland Disorders and Treatments
Type
article
Field-Weighted Citation Impact
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article

Pituitary Entry Zone: Newly Midline Hypovascular Area in Pituitary Gland

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Pituitary Entry Zone: Newly Midline Hypovascular Area in Pituitary Gland

Carlos Castillo-Rangel, Matías Baldoncini, Cristofer Zarate-Calderon, Edgar G Ordonez-Rubiano, Gerardo Marín, Carolina Galicia-Ramirez, Gustavo Leonel-Garavaglia, Juan Villalonga, Karla Akezalli Hernández-Contreras, Álvaro Campero, Daniel Casanova
article en

Abstract

This study identifies a distinct zone of relative hypovascularity along the sagittal midline of the human pituitary gland, which we propose naming the pituitary entry zone. This anatomical finding offers a potential histologic basis for the observed preservation of pituitary function after midline surgical approaches. While limited by a small sample size, these results highlight a previously under-characterized aspect of pituitary angioarchitecture that may represent a safer corridor for surgical intervention. Further investigation correlating this anatomical finding with postoperative outcomes is warranted.

World NeurosurgeryVol. 206
National University of Tucumán (AR), Universidad Veracruzana (MX), Universidad de Buenos Aires (AR), Fundación Santa Fe de Bogotá (CO), Fundación Universitaria de Ciencias de la Salud (CO), Universidad de Aconcagua (CL), University of Valparaíso (CL), Institute for Social Security and Services for State Workers (MX)
Openalex Percentile: Top 30%
Pituitary Gland Disorders and Treatments
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