{"id":178,"date":"2025-10-22T14:47:42","date_gmt":"2025-10-22T12:47:42","guid":{"rendered":"https:\/\/www.chu-tours.fr\/neurochirurgie\/?page_id=178"},"modified":"2026-03-11T11:32:44","modified_gmt":"2026-03-11T10:32:44","slug":"adenome-hypophysaire","status":"publish","type":"page","link":"https:\/\/www.chu-tours.fr\/neurochirurgie\/pathologies-tumorales\/adenome-hypophysaire\/","title":{"rendered":"Ad\u00e9nome hypophysaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"178\" class=\"elementor elementor-178\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9d353d3 e-con-full e-flex e-con e-parent\" data-id=\"9d353d3\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cecd0ab elementor-widget elementor-widget-global elementor-global-220 elementor-widget-html\" data-id=\"cecd0ab\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<!-- FIL D\u2019ARIANE DYNAMIQUE - CHRU TOURS (VERSION JAVASCRIPT\/CHEVRONS) -->\r\n<div id=\"breadcrumb-js\" class=\"breadcrumb\"><\/div>\r\n\r\n<style>\r\n    .breadcrumb {\r\n        font-size: 14px;\r\n        font-family: \"Segoe UI\", sans-serif;\r\n        margin-bottom: 20px;\r\n        color: #555;\r\n        display: flex;\r\n        flex-wrap: wrap;\r\n        gap: 0.5em;\r\n        align-items: center;\r\n        background: #f4f6f8;       \/* fond gris clair (modifiable ou \u00e0 supprimer) *\/\r\n        padding: 8px 12px;\r\n        border-radius: 4px;\r\n    }\r\n\r\n    .breadcrumb a {\r\n        text-decoration: none;\r\n        color: #008c9e;            \/* couleur des liens cliquables *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb span {\r\n        color: #0d3182;            \/* couleur du dernier \u00e9l\u00e9ment (page active) *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb .separator {\r\n        font-weight: normal;\r\n        color: #888;\r\n        margin: 0 4px;\r\n    }\r\n<\/style>\r\n\r\n<script>\r\n    document.addEventListener(\"DOMContentLoaded\", function () {\r\n        const path = window.location.pathname.split(\"\/\").filter(p => p);\r\n        if (path.length === 0) return;\r\n\r\n        let html = '';\r\n        let fullPath = \"\";\r\n\r\n        path.forEach((segment, index) => {\r\n            fullPath += \"\/\" + segment;\r\n            const label = decodeURIComponent(segment.replace(\/[-_]\/g, \" \"))\r\n            .toLowerCase()\r\n            .replace(\/^\\w\/, c => c.toUpperCase());\r\n\r\n            if (index < path.length - 1) {\r\n                html += `<span class=\"separator\">\u203a<\/span><a href=\"${fullPath}\">${label}<\/a>`;\r\n            } else {\r\n                html += `<span class=\"separator\">\u203a<\/span><span>${label}<\/span>`;\r\n            }\r\n        });\r\n\r\n        const container = document.getElementById(\"breadcrumb-js\");\r\n        if (container) container.innerHTML = html;\r\n    });\r\n\r\n    \/*\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\ud83c\udfa8 ASTUCES DE PERSONNALISATION (\u00e0 modifier au besoin)\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\r\n1. Modifier la couleur du dernier niveau (page courante) :\r\n\u2192 dans le CSS : change `color: #0d3182;` dans `.breadcrumb span`\r\n\r\n2. Modifier la couleur ou le style des liens :\r\n\u2192 dans `.breadcrumb a`, tu peux ajuster :\r\n- color (ex: #0073aa)\r\n- font-weight\r\n- text-transform\r\n\r\n3. Supprimer le fond gris clair :\r\n\u2192 supprime `background: #f4f6f8;` dans `.breadcrumb`\r\n\r\n4. Centrer le fil d\u2019Ariane :\r\n\u2192 ajoute `justify-content: center;` dans `.breadcrumb`\r\n\r\n5. Changer le s\u00e9parateur :\r\n\u2192 remplace `\u203a` dans le code HTML g\u00e9n\u00e9r\u00e9 (`.separator`)\r\nPar exemple : `&raquo;` (pour \u00bb) ou `\/`\r\n\r\n6. Supprimer \"Accueil\" du d\u00e9but :\r\n\u2192 commente ou supprime : `let html = '<a href=\"\/\">Accueil<\/a>';`\r\n\r\n7. Ajouter une classe sp\u00e9cifique au dernier segment :\r\n\u2192 tu peux remplacer `<span>` par `<span class=\"current\">` et styler `.current` comme tu veux\r\n\r\n8. Forcer un affichage responsive encore plus propre :\r\n\u2192 dans `.breadcrumb`, tu peux ajouter `flex-wrap: wrap;` et g\u00e9rer les `gap` ou marges\r\n\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n*\/\r\n<\/script>\r\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9d4da7 elementor-widget elementor-widget-text-editor\" data-id=\"e9d4da7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h2>Qu\u2019est-ce qu\u2019un ad\u00e9nome hypophysaire\u00a0?<\/h2><p style=\"text-align: justify;\">L\u2019hypophyse est une <strong>petite glande<\/strong> situ\u00e9e sous le cerveau qui contr\u00f4le la production d\u2019hormones comme le cortisol, les hormones thyro\u00efdiennes, l\u2019hormone de croissance, la prolactine, les hormones sexuelles, l\u2019ocytocine et l\u2019hormone antidiur\u00e9tique (qui limite la production des urines).<\/p><p>L\u2019ad\u00e9nome hypophysaire est une <strong>tumeur b\u00e9nigne<\/strong> qui se d\u00e9veloppe dans l&#8217;hypophyse.<\/p><h2>Quels sont les sympt\u00f4mes\u00a0?<\/h2><p style=\"text-align: justify;\">L\u2019ad\u00e9nome peut \u00eatre d\u00e9couvert en cas de <strong>production excessive de certaines hormones\u00a0<\/strong>(troubles des menstruations, \u00e9coulement mammaire, modification du visage, des mains des pieds, diab\u00e8te, syndrome d\u2019apn\u00e9e du sommeil, hypertension art\u00e9rielle\u2026) ou par <strong>compression des structures nerveuses<\/strong> \u00e0 proximit\u00e9 comme le nerf optique (vision floue, maux de t\u00eate\u2026), mais il peut \u00eatre <strong>asymptomatique <\/strong>et d\u00e9couvert sur une imagerie c\u00e9r\u00e9brale r\u00e9alis\u00e9e pour des sympt\u00f4mes sans rapport avec l\u2019ad\u00e9nome (d\u00e9couverte fortuite).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-81953a3 e-flex e-con-boxed e-con e-parent\" data-id=\"81953a3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c41638 elementor-widget elementor-widget-image\" data-id=\"2c41638\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1323\" height=\"635\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/adenome-hypophysaire.jpg\" class=\"attachment-full size-full wp-image-128\" alt=\"ad\u00e9nome hypophysaire\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/adenome-hypophysaire.jpg 1323w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/adenome-hypophysaire-300x144.jpg 300w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/adenome-hypophysaire-1024x491.jpg 1024w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/adenome-hypophysaire-768x369.jpg 768w\" sizes=\"(max-width: 1323px) 100vw, 1323px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-41c35bf e-con-full e-flex e-con e-parent\" data-id=\"41c35bf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-c9c792e e-con-full e-flex e-con e-child\" data-id=\"c9c792e\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d2065ef elementor-widget elementor-widget-image\" data-id=\"d2065ef\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"413\" height=\"426\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Macroadenome-hypophysaire-preop-v2.png\" class=\"attachment-full size-full wp-image-514\" alt=\"Macroad\u00e9nome hypophysaire pr\u00e9-op\u00e9ratoire\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Macroadenome-hypophysaire-preop-v2.png 413w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Macroadenome-hypophysaire-preop-v2-291x300.png 291w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Macroadenome-hypophysaire-preop-v2-40x40.png 40w\" sizes=\"(max-width: 413px) 100vw, 413px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e84c92d e-con-full e-flex e-con e-child\" data-id=\"e84c92d\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c5ac2a5 elementor-widget elementor-widget-image\" data-id=\"c5ac2a5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"413\" height=\"426\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Macroadenome-hypophysaire-postop.png\" class=\"attachment-full size-full wp-image-511\" alt=\"Macroad\u00e9nome hypophysaire post-op\u00e9ratoire\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Macroadenome-hypophysaire-postop.png 413w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Macroadenome-hypophysaire-postop-291x300.png 291w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/02\/Macroadenome-hypophysaire-postop-40x40.png 40w\" sizes=\"(max-width: 413px) 100vw, 413px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6995f4d e-flex e-con-boxed e-con e-parent\" data-id=\"6995f4d\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-10e61b1 elementor-widget elementor-widget-heading\" data-id=\"10e61b1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><p class=\"elementor-heading-title elementor-size-default\">Macroad\u00e9nome hypophysaire (fl\u00e8che rose) pr\u00e9 et post op\u00e9ratoire\n<\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-74e1c60 e-con-full e-flex e-con e-parent\" data-id=\"74e1c60\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37c5b89 elementor-widget elementor-widget-text-editor\" data-id=\"37c5b89\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: justify;\">Quelles sont les prises en charge possible\u00a0?<\/h2><p style=\"text-align: justify;\">La d\u00e9cision de proposition du traitement \u00e9mane d\u2019une <strong>d\u00e9cision coll\u00e9giale<\/strong> lors d\u2019une r\u00e9union multidisciplinaire incluant des Neurochirurgiens, des Endocrinologues, des Radiologues\u2026<\/p><p style=\"text-align: justify;\">Le patient est ensuite vu <strong>en consultation <\/strong>par le neurochirurgien ou les endocrinologues en fonction de la proposition de traitement pour discuter des principes de la prise en charge, de l\u2019hospitalisation, de la chirurgie et des risques.<\/p><h2 style=\"text-align: justify;\">Traitement m\u00e9dical<\/h2><p style=\"text-align: justify;\">Les tumeurs s\u00e9cr\u00e9tant de la prolactine et celles s\u00e9cr\u00e9tant de l\u2019hormone de croissance de petit volume peuvent b\u00e9n\u00e9ficier d\u2019un <strong>traitement m\u00e9dical<\/strong>.<\/p><h2 style=\"text-align: justify;\">Surveillance<\/h2><p style=\"text-align: justify;\">Parfois, une simple <strong>surveillance<\/strong> gr\u00e2ce \u00e0 un suivi par imagerie c\u00e9r\u00e9brale r\u00e9guli\u00e8re peut \u00eatre n\u00e9cessaire en pr\u00e9sence d\u2019un ad\u00e9nome peu volumineux qui ne provoque pas de sympt\u00f4me ni s\u00e9cr\u00e9tion hormonale anormale.<\/p><h2 style=\"text-align: justify;\">Radioth\u00e9rapie<\/h2><p style=\"text-align: justify;\">La radioth\u00e9rapie est une possibilit\u00e9 en compl\u00e9ment de la chirurgie et\/ou des m\u00e9dicaments.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-09af403 e-con-full e-flex e-con e-parent\" data-id=\"09af403\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-63b895f elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"63b895f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2>Technique chirurgicale<\/h2><p style=\"text-align: justify;\">Nous utilisons la <strong>voie endonasale <\/strong>(qui passe par le nez) sous contr\u00f4le microscopique ainsi que des instruments sp\u00e9cifiques. Cette technique mini-invasive utilise les voies naturelles, permettant de ne pas laisser de cicatrice visible. Cette chirurgie est r\u00e9alis\u00e9e sous <strong>anesth\u00e9sie g\u00e9n\u00e9rale<\/strong>.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a53ced4 elementor-widget elementor-widget-image\" data-id=\"a53ced4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"564\" height=\"355\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/technique-chir-voie-endonasale.jpg\" class=\"attachment-full size-full wp-image-166\" alt=\"Technique chirurgicale par voie endonasale\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/technique-chir-voie-endonasale.jpg 564w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/technique-chir-voie-endonasale-300x189.jpg 300w\" sizes=\"(max-width: 564px) 100vw, 564px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 1. Approche transnasale transsph\u00e9no\u00efdale.<br \/>L'ablation chirurgicale d'un ad\u00e9nome hypophysaire est g\u00e9n\u00e9ralement effectu\u00e9e par le nez.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-dffc1c4 e-con-full e-flex e-con e-parent\" data-id=\"dffc1c4\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-71db184 elementor-widget elementor-widget-text-editor\" data-id=\"71db184\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"text-align: center;\"><em><span style=\"color: #808080;\">Cr\u00e9dit : Universit\u00e4tsklinik f\u00fcr Neurochirurgie, Inselspital Bern\u00a0 \u00a9 <a style=\"color: #808080;\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/deed.de\" target=\"_blank\" rel=\"noopener\">CC BY-NC 4.0<\/a><\/span><\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9060c1d elementor-widget elementor-widget-text-editor\" data-id=\"9060c1d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: justify;\">Et la suite\u00a0?<\/h2><p style=\"text-align: justify;\"><strong>La dur\u00e9e d\u2019hospitalisation<\/strong> est d\u2019environ <strong>4-5 nuits<\/strong> :<\/p><ul><li style=\"text-align: justify;\">Arriv\u00e9e la veille de l\u2019intervention<\/li><li style=\"text-align: justify;\">1 \u00e0 2 nuits en unit\u00e9 de soins continus neurochirurgicale<\/li><li style=\"text-align: justify;\">1 \u00e0 2 nuits en hospitalisation dans le service d\u2019endocrinologie (n\u00e9cessaire pour l\u2019adaptation des traitements hormonaux substitutifs)<\/li><\/ul><h3 style=\"text-align: justify;\"><strong>Ce qu\u2019il ne faut pas faire\u00a0:<\/strong><\/h3><p style=\"text-align: justify;\">Les baignades en eaux sales (piscine, mer, jacuzzi), les voyages en avion, les efforts de mouchages et l\u2019activit\u00e9 physique \u00e0 haute intensit\u00e9 sont contre-indiqu\u00e9s pour une dur\u00e9e de 6 semaines. La conduite automobile est d\u00e9pendante de la vision.<\/p><p style=\"text-align: justify;\">Un <strong>arr\u00eat de travail<\/strong> est prescrit pour une dur\u00e9e de 1 mois \u00e0 6 semaines en fonction des cas. La fatigue est fr\u00e9quente dans les premiers jours mais il est conseill\u00e9 de reprendre progressivement une vie normale.<\/p><p style=\"text-align: justify;\">Une <strong>consultation de Neurochirurgie et d\u2019Endocrinologie<\/strong> ont lieu \u00e0<strong> 3 mois<\/strong> de la chirurgie apr\u00e8s la r\u00e9alisation d\u2019une <strong>IRM c\u00e9r\u00e9brale et d\u2019un bilan hormonal complet<\/strong>, afin d\u2019\u00e9tablir le r\u00e9sultat d\u00e9finitif de la chirurgie.<\/p><p style=\"text-align: justify;\">Le suivi se prolongera ensuite par des consultations r\u00e9guli\u00e8res avec le Neurochirurgien et l\u2019Endocrinologue.\u00a0<\/p><p style=\"text-align: justify;\">\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ffb1d3a e-con-full e-flex e-con e-parent\" data-id=\"ffb1d3a\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-defbdd0 elementor-widget elementor-widget-toggle\" data-id=\"defbdd0\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-toggle{text-align:start}.elementor-toggle .elementor-tab-title{font-weight:700;line-height:1;margin:0;padding:15px;border-bottom:1px solid #d5d8dc;cursor:pointer;outline:none}.elementor-toggle .elementor-tab-title .elementor-toggle-icon{display:inline-block;width:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon svg{margin-inline-start:-5px;width:1em;height:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-right{float:right;text-align:right}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-left{float:left;text-align:left}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-closed{display:block}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-opened{display:none}.elementor-toggle .elementor-tab-title.elementor-active{border-bottom:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-closed{display:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-opened{display:block}.elementor-toggle .elementor-tab-content{padding:15px;border-bottom:1px solid #d5d8dc;display:none}@media (max-width:767px){.elementor-toggle .elementor-tab-title{padding:12px}.elementor-toggle .elementor-tab-content{padding:12px 10px}}.e-con-inner>.elementor-widget-toggle,.e-con>.elementor-widget-toggle{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2331\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2331\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-caret-right\" viewBox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Bibliographie<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2331\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2331\"><ol><li>Zemmoura, I., Wierinckx, A., Vasiljevic, A. et al. Aggressive and malignant prolactin pituitary tumors: pathological diagnosis and patient management. Pituitary 16, 515\u2013522 (2013).<\/li><li>Terrier LM, Amelot A, Velut S, Fran\u00e7ois P, Zemmoura I. The Musical Footprint of Cushing Syndrome. JAMA Intern Med. 2016 Jul 1;176(7):1016-7. doi: 10.1001\/jamainternmed.2016.2078. PMID: 27243790.<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Qu\u2019est-ce qu\u2019un ad\u00e9nome hypophysaire\u00a0? L\u2019hypophyse est une petite glande situ\u00e9e sous le cerveau qui contr\u00f4le la production d\u2019hormones comme le cortisol, les hormones thyro\u00efdiennes, l\u2019hormone de croissance, la prolactine, les hormones sexuelles, l\u2019ocytocine et l\u2019hormone antidiur\u00e9tique (qui limite la production des urines). L\u2019ad\u00e9nome hypophysaire est une tumeur b\u00e9nigne qui se d\u00e9veloppe dans l&#8217;hypophyse. Quels sont [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":174,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"publishpress_future_action":{"enabled":false,"date":"2026-04-26 20:56:56","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/178"}],"collection":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/comments?post=178"}],"version-history":[{"count":21,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/178\/revisions"}],"predecessor-version":[{"id":615,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/178\/revisions\/615"}],"up":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/174"}],"wp:attachment":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/media?parent=178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}