[Sudden hemorrhage into asymptomatic hypophyseal tumors].

In 6 previously asymptomatic patients the hypophysis (adenoma) hemorrhages developed suddenly with prompt severe signs of subarachnoidal hemorrhage or vision loss up to total blindness. Five patients were either operated via transfrontal approach or transnasal stereotaxic cryodestruction of the tumor was performed. One patient died before operation within 24h after admission. Of the 6 patients, 5 had the chromophobic hypophyseal adenomas. Of the 5 operated patients 4 remain in satisfactory conditions for 4 to 10 years. The success of the treatment in patients with hemorrhages into the asymptomatic hypophyseal tumors depends on prompt detection and urgent surgery.