Pituitary Apoplexy Manifesting as Diffuse Subarachnoid Hemorrhage-Case Report-

Nakahara, Kuniaki; Oka, Hiroyuki; Utsuki, Satoshi; Iida, Hideo; Kurita, Mari; Mochizuki, Takahiro; Fujii, Kiyotaka

doi:10.2176/nmc.46.594

Cited by 22 publications

(12 citation statements)

References 17 publications

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“…It is a rare event, which, however, increases the risk of brain stroke due to secondary vasospasm [36, 104]. This complication is mainly responsible for neurological consequences and consciousness impairment.…”

Section: Prognosismentioning

confidence: 99%

Multidisciplinary Management of Pituitary Apoplexy

Albani

Ferraú

Angileri

et al. 2016

International Journal of Endocrinology

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Pituitary apoplexy is a rare clinical syndrome due to ischemic or haemorrhagic necrosis of the pituitary gland which complicates 2–12% of pituitary tumours, especially nonfunctioning adenomas. In many cases, it results in severe neurological, ophthalmological, and endocrinological consequences and may require prompt surgical decompression. Pituitary apoplexy represents a rare medical emergency that necessitates a multidisciplinary approach. Modalities of treatment and times of intervention are still largely debated. Therefore, the management of patients with pituitary apoplexy is often empirically individualized and clinical outcome is inevitably related to the multidisciplinary team's skills and experience. This review aims to highlight the importance of a multidisciplinary approach in the management of pituitary apoplexy and to discuss modalities of presentation, treatment, and times of intervention.

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Section: Prognosismentioning

confidence: 99%

Multidisciplinary Management of Pituitary Apoplexy

Albani

Ferraú

Angileri

et al. 2016

International Journal of Endocrinology

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“…Although our case reveals pituitary apoplexy as the cause of xanthochromia, others have reported the association of apoplexy in conjunction with SAH [3][4][5][6]. Interestingly, there is some association between intracranial aneurysms and pituitary adenomas [7].…”

Section: Discussionmentioning

confidence: 62%

A case of pituitary apoplexy masquerading as subarachnoid hemorrhage

Choudhury

Eligar

DeLloyd

et al. 2016

Clinical Case Reports

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“…SAH 19,22,27) associated with pituitary apoplexy is a rare but well-known pattern of pituitary apoplexy. The anatomical proximity of the sellae turcica to the basal cistern may be the cause of this symptom.…”

Section: Discussionmentioning

confidence: 99%

“…2,3,8,9,13,16,24) Pituitary apoplexy is characterized by sudden onset of headache, visual impairment, or ophthalmoplegia caused by acute enlargement of the tumor. 3,6,11,26,27,30) Intratumoral hemorrhage is the most common type of hemorrhage, but subarachnoid hemorrhage (SAH), 16,17,19,27) and intra-ventricular hemorrhage 5,21,25) may also result from pituitary apoplexy. Only one case of intracerebral hemorrhage (ICH) has been associated with pituitary apoplexy.…”

Section: Introductionmentioning

confidence: 99%

Pituitary Apoplexy Manifesting as Massive Intracerebral Hemorrhage

Kurisu

Kawabori

Niiya

et al. 2012

Neurol. Med. Chir.(Tokyo)

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A 68-year-old man presented with severe conscious disturbance caused by pituitary apoplexy resulting in massive intracerebral hemorrhage (ICH). He had been periodically followed up for asymptomatic pituitary adenoma at another hospital for 8 years. Neuroimaging examination revealed pituitary apoplexy and massive ICH located in the left frontal lobe, and the ICH was directly connected to the intratumoral hemorrhage. The diagnosis was massive ICH from pituitary apoplexy. The patient underwent emergent evacuation of hematoma and removal of the pituitary adenoma via bi-frontal craniotomy. Postoperatively, he continued to exhibit deep consciousness disturbance and died 1 month after the operation. Pituitary apoplexy is usually characterized by intra-tumoral hemorrhage. The treatment strategy for asymptomatic pituitary adenoma is still controversial. This case shows that we should always consider the risk of pituitary apoplexy manifesting as ICH which may cause a fatal outcome.

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Pituitary Apoplexy Manifesting as Diffuse Subarachnoid Hemorrhage-Case Report-

Abstract: Fig. 1 Axial computed tomography scan on admission demonstrating broad diffusion of subarachnoid hemorrhage within the sylvian fissure, basal cistern, and fourth ventricle, and a slightly hyperdense mass in the suprasellar cistern.

Cited by 22 publications

References 17 publications

Multidisciplinary Management of Pituitary Apoplexy

Multidisciplinary Management of Pituitary Apoplexy

A case of pituitary apoplexy masquerading as subarachnoid hemorrhage

Pituitary Apoplexy Manifesting as Massive Intracerebral Hemorrhage

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