A epidemiologia de adenomas hipofisários em um hospital de referência

Oliveira, Enrico Pinheiro de; Maia, Rafael Costa Lima; Gondim, Jackson; Sobrinho, Osvaldo Pereira da Costa; Albuquerque, Lucas Alverne Freitas de; Filho, Stélio Coêlho Lombardi; Lopes, Edson Pereira

doi:10.1055/s-0038-1672462

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“…Pituitary adenomas are benign tumors and are among the most common intracranial tumors ( 3) . They correspond to 9 to 15% of intracranial tumors detected in autopsy series, and in radiological series, they can reach up to 22 to 23% of cases ( 4) . They are classified according to their cellular origin ( gonadotroph , corticotroph , lactotroph , somatotroph or thyrotroph ) and size ( microadenoma when smaller than 1 cm, and macroadenoma when greater than or equal to 1 cm).…”

Section: Introductionmentioning

confidence: 85%

The Challenge Of Clinical And Surgical Management Of An Acute Myocardial Infarction Simultaneously With An Acute Compressive Neurological Syndrome Due To Pituitary Adenoma: A Case Report

Santos,

Lopes,

Paes

et al. 2024

IJHMR

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The term acute coronary syndrome represents a group of signs and symptoms in a patient who exhibits clinical and/or laboratory evidence of the occurrence of acute myocardial ischemia. This concept encompasses acute myocardial infarction, which represents the most important cause of death in Brazil and the world. Pituitary adenomas, in turn, are benign tumors, and are among the most common intracranial tumors, corresponding to 9 to 15% of intracranial tumors detected in autopsy series, and in radiological series, they can reach up to 22 to 23%. of cases. This study is a case report of the simultaneous occurrence of an acute myocardial infarction and an acute compressive neurological syndrome, due to pituitary adenoma, both serious, and the challenges encountered in making medical decisions regarding treatment priority. In daily practice, differentiating between urgency and emergency can be complex. In the case in question, although neurological compression implied the risk of irreversible vision loss, the team decided to prioritize the cardiac approach, to the detriment of the immediate attempt to preserve vision. The decision considered the imminent risk of death due to hemodynamic instability due to any decompensation during the neurological procedure.

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Section: Introductionmentioning

confidence: 85%