Apoplejía pituitaria. A propósito de un caso

Pinto-Valdivia, Miguel; Chiang, Giuliana Cerro; Ramírez-Vela, Rosa María

doi:10.1016/j.endonu.2012.01.016

Cited by 2 publications

(6 citation statements)

References 16 publications

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“…ACTH deficiency reported in 70% of cases, is the most important hormone deficiency. TSH and gonadotropin deficiency have also been reported in 50% and 75% of cases, respectively, but they generally become clinically relevant only after several months when directly caused by pituitary necrosis [7,8,9,15]. It leads to low production of cortisol and thyrosine, as shown in this case.…”

Section: Case Illustrationmentioning

confidence: 57%

“…Pituitary apoplexy occurs in 0.6-10% of pituitary adenoma, especially non-functioning pituitary adenoma. It evolves in hours to days and is considered potentially fatal emergency occurring in these patients with pituitary adenoma The precise pathophysiology is not completely understood and remains uncertain, could be associated with trauma, iatrogenic, hypertension, systemic surgeries, and dynamic pituitary function test [7][8][9]. This case presentation demonstrates diagnosis with pituitary apoplexy resulting from pituitary macroadenoma based on clinical manifestation, laboratory assay, radiographic imaging perspectives and conservative management.…”

Section: Introductionmentioning

confidence: 94%

“…[3] MRI is the imaging test of choice for diagnosis because it detects 90% of the cases (CT scan detetcts 20% only). [7] As hyperdensity in the subacute and chronic phases of hemorrhage fades,…”

Section: Case Illustrationmentioning

confidence: 99%

“…The use of dexamethasone is not recommended; however, it could be useful in decreasing edema as a nonsurgical approach to pituitary apoplexy. [7,8,9,15] Because acute secondary adrenal insufficiency is very frequent in patients with apoplexy, empiric parenteral corticosteroid supplementation should be given to all patients with signs of pituitary apoplexy, without waiting for diagnostic confirmation [15]. Overall, patients suffering from pituitary apoplexy will require glucocorticoids (60-80%), thyroid hormone (50-60%), and desmopressin (10-25%).…”

Section: Case Illustrationmentioning

confidence: 99%

“…Overall, patients suffering from pituitary apoplexy will require glucocorticoids (60-80%), thyroid hormone (50-60%), and desmopressin (10-25%). [7,15] Therefore, it is advised that MRI should be repeated annually in these patients. The operation or radiotherapy should be contemplated only when the tumor regrowth is confirmed, except where the adenomatous residue is tebal dan dekat to the optic nerves/chiasm.…”

Section: Case Illustrationmentioning

confidence: 99%

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Pituitary Macroadenoma with Apoplexy in an Adult: A Case Report

Nasution

Sazli

2020

JETROMI

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Pituitary adenomas are the most common type and benign tumours arising from hormone expressing cells in the anterior pituitary gland. They account for 10% to 15% of all intracranial masses. Pituitary adenomas present clinically in three ways: syndromes of hormone hypersecretion or deficiency; neurologic manifestations from mass effect of an expanding gland; or an incidental finding on imaging done for an unrelated issue. A 49-years old man, was reffered to the hospital with symptoms of chronic headache and blurred vision. General physical examination revealed no abnormalities. History of previous illness and medication were unremarkable. MRI brain showed hyperintense lesion in suprasellar/selllar area. Hormone assay reciprocally revealed hypocortisolism and hyperprolactinemia. Abstrak: Adenoma hipofisis merupakan tumor jinak tersering dari sel penghasil hormon di kelenjar hipofisis anterior, berkisar 10%-15% dari seluruh massa intrakranial. Adenoma hipofisis secara klinis bermanifestasi dalam tiga cara: sindrom hipersekresi atau defisiensi hormon; manifestasi neurologis dari efek massa yang membesar; atau temuan secara tidak sengaja pada modalitas pencitraan. Seorang laki-laki berumur 49 tahun dirujuk ke rumah sakit dengan kkeluhan sakit kepala kronik dan pandangan kabur. Pemeriksaan fisik secara umum dalam batas normal. Riwayat penyakit sebelumnya atau pengobatan juga tidak spesifik. MRI otak menunjukkan lesi hiperintens pada area suprasellar/sellar. Temuan pemeriksaan hormon juga sejalan menunjukkan hipokortisolisme dan hiperprolaktinemia.

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Section: Case Illustrationmentioning

confidence: 57%

Section: Introductionmentioning

confidence: 94%

Section: Case Illustrationmentioning

confidence: 99%

Section: Case Illustrationmentioning

confidence: 99%

Section: Case Illustrationmentioning

confidence: 99%

See 3 more Smart Citations

Pituitary Macroadenoma with Apoplexy in an Adult: A Case Report

Nasution

Sazli

2020

JETROMI

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Pituitary apoplexy and cerebral infarction

2023

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Pituitary apoplexy (PA) is a possible complication of pituitary adenoma but is rarely followed by cerebral infarction. The mechanism by which this occurs is not totally understood but is believed to have multiple aetiologies such as arterial compression due to mass effect, vasospasm induced by the presence of blood or by vasoactive agents. In this report, we present a man in his 80s with known pituitary adenoma with a sudden onset of left central facial palsy, left hemiparesis, paresis of the VI left pair and previously unrecognised atrial fibrillation in the ECG. At first, the signs of haemorrhage on imaging were unnoticed, which led to a diagnosis of ischaemic stroke that was submitted to thrombolysis. Due to complications during hospitalisation, the team suspected of PA with panhypopituitarism, confirmed by brain MRI and blood tests. The patient underwent conservative management with glucocorticoids with resolution of the acute adrenal insufficiency related symptoms.

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Apoplejía pituitaria. A propósito de un caso

Cited by 2 publications

References 16 publications

Pituitary Macroadenoma with Apoplexy in an Adult: A Case Report

Pituitary Macroadenoma with Apoplexy in an Adult: A Case Report

Pituitary apoplexy and cerebral infarction

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