 This was then opened and using microsurgical technique with the curette suctioned and the pituitary calcifications were removed, several Valsalva maneuvers were performed without any evidence of CSF leak and trying to pull the tumor further down. 
This was then opened and using microsurgical technique with the curette suctioned and the pituitary calcifications were removed , several Valsalva maneuvers were performed without any evidence of CSF leak and trying to pull the tumor further down .