Case of Pituitary Apoplexy After Surgery

McClain, Ian J.; Skidd, Philip M

doi:10.1097/wno.0000000000001172

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…However, a few cases have been reported after abdominal surgeries, and to the best of our knowledge, none of them have been reported after hydatid cyst resection [ 8 ]. Moreover, apoplexy was reported in most of the cases after major surgery; however, it was reported after routine surgery without any significant hemodynamic disturbances [ 9 ]. Pregnancy is a well-known risk factor for the development of pituitary apoplexy and is related to hormonal stimulation and high blood flow during pregnancy [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Pituitary Apoplexy After a Major Abdominal Surgery: A Case Report

Alshahrani,

Al Bshabshe,

Al Shahrani

2024

Cureus

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Pituitary apoplexy is a major complication of pituitary adenoma, and the diagnosis might be challenging if the patient presents with signs of meningeal irritation or electrolyte imbalance. It can be fatal if not diagnosed and treated appropriately. Apoplexy is the first clinical presentation in the majority of pituitary adenoma cases. The pathophysiology of pituitary apoplexy involves bleeding and/or ischemia of pituitary enlargement. In this case report, we present a case of pituitary apoplexy that developed after a major abdominal surgery. The patient presented with headache, hypertension, and visual loss. After confirming the diagnosis through a CT scan, the patient underwent a transsphenoidal surgical decompression.

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Section: Discussionmentioning

confidence: 99%

Pituitary Apoplexy After a Major Abdominal Surgery: A Case Report

Alshahrani,

Al Bshabshe,

Al Shahrani

2024

Cureus

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Pituitary apoplexy after surgery for cervical stump adenocarcinoma: A case report and literature review

Yu,

Shi,

Jiang

et al. 2024

Oncol Lett

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Pituitary apoplexy (PA) is an emergency condition caused by sudden hemorrhage or infarction and characterized by sudden sella turcica compression, intracranial hypertension and meningeal stimulation. PA usually occurs secondary to pituitary adenomas and can serve as the initial manifestation of an undiagnosed pituitary adenoma in an individual. In the present study, a case of PA following surgery for cervical stump adenocarcinoma was reported. The patient experienced an abrupt onset of headache and drowsiness on postoperative day 1 (POD1), and developed blurred vision and blepharoptosis of the left eye on POD4. Pituitary MRI confirmed the diagnosis of PA, prompting the initial administration of hydrocortisone to supplement endogenous hormones, followed by trans-sphenoidal resection. At the six-week follow-up, the patient had fully recovered, with only mild residual blurring of vision. Diagnosing PA post-surgery can be a challenging task due to its symptomatic overlap with postoperative complications. The existing literature on PA after surgery was also reviewed, including the symptoms, time of onset, imageological examination, management, potential risk factors and outcome to improve on early detection and individualized treatment in the future.

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Pituitary apoplexy following cataract surgery: A novel complication

Maheshkumar

Ravindran

Rupa

et al. 2023

Indian Journal of Ophthalmology - Case Reports

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A 54-year-old female underwent uneventful phacoemulsification cataract surgery in the left eye. On postoperative day 1, she developed sudden visual loss. The examination was unremarkable except for a relative afferent pupillary defect. Neuroimaging revealed features suggestive of pituitary macroadenoma complicated by pituitary apoplexy (PA) causing optic chiasmal compression. Surgical intervention was done and the other eye vision was salvaged. This is the first case report documenting cataract surgery as a precipitant of PA, resulting in sudden visual loss.

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Case of Pituitary Apoplexy After Surgery

Cited by 3 publications

References 4 publications

Pituitary Apoplexy After a Major Abdominal Surgery: A Case Report

Pituitary Apoplexy After a Major Abdominal Surgery: A Case Report

Pituitary apoplexy after surgery for cervical stump adenocarcinoma: A case report and literature review

Pituitary apoplexy following cataract surgery: A novel complication

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