CASE REPORT: PITUITARY APOPLEXY
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Abstract
Pituitary apoplexy is a rare surgical emergency. This condition involves the rapid progression, which can threaten patients’ life and is caused by haemorrhage or infarction in the pituitary gland. In most cases, a pituitary apoplexy occurs on a pre-existing pituitary tumor. The patient presents with a clinical syndrome of headache, visual deficits, ophthalmoplegia, and altered mental status and hormonal dysfunction. We report a 28-year-old male patient with no previous history of pituitary gland disease. There was a sudden onset and rapid progression, and the patient underwent emergency endoscopic nasal surgery. After surgery, the patient's neurological function was improved and stable.
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Keywords
Pituitary apoplexy, Surgery
References
2. Bailey P. (1898). Pathological report of a case of acromegaly, with especial reference to the hypophysis cerebri and in the thyroid gland; and a case of haemorhage into the pituitary. Philadelphia Med J; 1:789.
3. Brougham M., Heusner A.P., Adams R.D. (1950). Acute degenerative changes in adenomas of the pituitary body - with special reference to pituitary apoplexy. J Neurosurg; 7:421.
4. Verrees M., Arafah B.M., Selman W.R. (2004). Pituitary tumour apoplexy: Characteristics, treatment, and outcomes. Neurosurgical Focus; http://www.medscape.com/viewarticle/474903_6 (accessed 3 August 2009).
5. Osborn A.G. (2004). Diagnostic Imaging: Brain, Sella and Pituitary, 1st ed. Salt Lake City, USA: Amirsys; II-2: 28-30.
6. Goel V., Debnath U.K., Singh J., Brydon H. (2009). Pituitary apoplexy after joint arthroplasty. J Arthroplasty; 24(5):826.e7-826.e10.
7. Wen-Yi H., Chien Y., Wu C., et al. (2009). Pituitary adenoma apoplexy with initial presentation mimicking bacterial meningoencephalitis: A case report. Am J Emerg Med; 27: 517.e1-517.e4.
8. Kuzu F., Unal M., Gul S., Bayraktaroglu T. (2018). Pituitary Apoplexy due to the Diagnostic Test in a Cushing’s Disease Patient. Turk Neurosurg; 28(2):323-325.
9. Jemel M., Kandara H., Riahi M., Gharbi R., Nagi S., Kamoun I. (2019). Gestational pituitary apoplexy: Case series and review of the literature. J Gynecol Obstet Hum Reprod; Dec;48(10):873-881.