A Case Report on Pituitary Apoplexy Presenting as Acute Kidney Injury

Abstract

Pituitary apoplexy is characterized by the acute ischemic or hemorrhagic infarction of the pituitary gland. Acute kidney injury is a less recognized complication associated with pituitary apoplexy but occasionally can be a presenting condition in patients with pituitary apoplexy. Here we discuss the case of a patient who presented with significant volume depletion, admitted with acute kidney injury, and was later diagnosed with pituitary apoplexy.

The Profile of Pharmacological Treatment in Trigeminal Neuralgia Patients in The Period of January 2018-December 2018

“…Among the 19 people who are treated for trigeminal neuralgia, 12 were female and 7 are male. This data is consistent to the other studies that states women are more prone to trigeminal neuralgia (1,3) . The patients are all adults, only one patient is under 40.…”

“…The patients are all adults, only one patient is under 40. Most of the patients are between the group 51-60 (42%) and 61-70 (31.5%) referred to table 1 This data is also consistent to many research and studies about trigeminal neuralgia patients, where it states that most cases occur in the age above 50 (1,4) . In total, there are 4 patients under the age of 50, and 14 over the age of 50.…”

Acute kidney injury with severe hyperkalaemia requiring haemodialysis in a patient with Pituitary Apoplexy - a Case Report

“…Disappearance of the tumour mass or marked shrinkage after conservative management of pituitary apoplexy has been described [18]. Cases of spontaneous biochemical remission have also been reported in hormonally active tumours [13,15]. In our patient, IGF1 levels done after the acute episode were within the normal range.…”

“…In the absence of steroids, blood vessels are insensitive to endogenous and exogenous catecholamines that can result in severe hypotension and AKI [12]. AKI is a less recognised complication associated with apoplexy [13]. It is characterized by a rise in serum creatinine of more than 0.3 mg/dl or a decreased urine volume of less than 0.5 ml/kg/hr.…”

Giant intracavernous aneurysm presenting with isolated trigeminal neuralgia: a case report

“…Trigeminal neuralgia (TN), also known as tic douloureux, is described as recurrent brief episodes of unilateral electric shock-like pains, abrupt in onset and termination, in the distribution of one or more divisions of the fifth cranial (trigeminal) nerve [1]. It is usually triggered by touching the skin lightly or other specific activities.…”