Pituitary Apoplexy Presenting as Status Migrainosus

Shabas, Debra; Sheikh, Huma U.; Gilad, Ronit

doi:10.1111/head.13046

Cited by 6 publications

(2 citation statements)

References 8 publications

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“…Differential diagnoses involve benign and malignant conditions, such as: meningitis, meningoencephalitis, stroke, subarachnoid hemorrhage, hypertensive encephalopathy, Rathke's pouch cyst, cavernous sinus thrombosis, temporal arteritis, optic neuritis, ophthalmoplegic migraine, Sheehan's syndrome and other sellar and parasellar tumors, such as craniopharyngioma (JUNG, 2020;LAW-YE, 2017;MARTINEZ, 2019;PEDRO, 2019;SHABAS, 2017). It is up to the clinician working in the emergency room to pay particular attention to headache complaints, which are shared by all these pathologies.…”

Section: Theoretical Foundationmentioning

confidence: 99%

Tumor Pituitary Apoplexia in Emergency – Literature Review

Lenhardt,

Silva,

Santo

et al. 2023

JHS

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Pituitary apoplexy is a neuroendocrine emergency characterized by ischemia or more commonly sudden pituitary hemorrhage. Its occurrence is greater in those cases with previous pituitary adenoma. It has a variable clinical picture, involving sudden or insidious headaches, visual changes associated with compression of the optic tract or cranial nerves, focal neurological deficits, hypopituitarism, adrenocortical insufficiency and even coma and death. In view of the above, the present study aims to identify tumoral pituitary apoplexy as a neuroendocrine emergency that must be promptly recognized, aiming for its rapid management in urgent and emergency services. This is a literature review carried out in the months of August and September 2023. The treatment of choice is controversial and depends, mainly, on the level of consciousness, the degree of visual impairment and the level of hypopituitarism, and may involve the use of glucocorticoids., hormone replacement and neurosurgical intervention. Adequate and immediate therapeutic intervention contributes to a more favorable outcome, reducing the occurrence of sequelae.

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Section: Theoretical Foundationmentioning

confidence: 99%

Tumor Pituitary Apoplexia in Emergency – Literature Review

Lenhardt,

Silva,

Santo

et al. 2023

JHS

View full text Add to dashboard Cite

show abstract

“…Several SM mimics have been reported and include hemorrhagic pituitary adenoma, 26,27 cervical and vertebral artery dissection, 28 and a brain abscess. 29 There are numerous other mimics including sphenoid sinusitis, reversible cerebral vasoconstriction syndrome, subarachnoid hemorrhage, subdural hematoma, pseudotumor cerebri, brain tumor, intermittent hydrocephalus, meningitis, and acute glaucoma.…”

Section: Expert Opinionmentioning

confidence: 99%