For which patients do you consider placing a lumbar drain prior to endoscopic endonasal resection for pituitary adenoma with suprasellar extension?

The use of a lumbar drain for suprasellar pituitary tumors is the subject of much discussion, and surgeon preference plays a role in how and how frequently drains are used.

I am an advocate for more routine use of lumbar drains for almost all patients that have significant suprasellar extension. The...