Request PDF on ResearchGate | Apoplejía pituitaria. Revisión del tema | La apoplejía pituitaria es un síndrome caracterizado por una necrosis o hemorragia en. La apoplejía pituitaria es normalmente el resultado de un infarto hemorrágico que acontece a un adenoma hipofisario. La presentación clínica comprende un. Abstract. ZAMORA, Adrián; MARTINEZ, Paola and BAYONA, Hernán. Pituitary tumor apoplexy. Acta Med Colomb [online]. , vol, n.3, pp
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We report the case of a patient with a previously unknown pituitary adenoma presenting as a tumor apoplexy. All manuscripts are submitted for review by experts in the field peer review and are carried out anonymously double blind. Neurosurg Rev ; SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
These cases are an important reminder that pituitary tumours and other sellar masses are an additionalconsideration in the differential diagnosis of patients presenting with ptosis.
Aoplejia apoplexy after subtotal thyroidectomy in an acromegalic patient with a ;ituitaria goiter. J La State Med Soc ; South Med J ; Spanish pdf Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail. Cerebral infarction after pituitary apoplexy: The MRI showed a minimally enhancing sellar mass of predominantly high signal intensity on T1WI with a central hypo-intense area.
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A year-old male of African descent presented with a history of sudden severe headache followed by closure of his left eye. Sudden complete ophthalmoplegia associated with pituitary adenoma. Ptosis as the early manifestation of pituitary tumour. Treatment consists in urgent sellar decompression by transsphenoidal surgery and substitute therapy with steroids.
At trans-sphenoidal surgery, there was erosion of the floor of the pituitary fossa with tumour extension into the sphenoid sinus. Case 2 A year-old male of African descent presented with a history of sudden severe headache followed by closure of his left eye. They are more common in women than men, usually presenting with endocrine abnormalities.
Apoplejía pituitaria. Revisión del tema | Neurocirugía (English edition)
This entity requires the prior existence of an adenoma in order to be named as pituitary tumor apoplexy, otherwise, it should be named pituitary apoplexy. He subsequently developed palsies of left trochlear and abducens nerves, as well as inappropriate secretion of antidiuretic hormone.
The topographical anatomy of the oculomotor nerve with the peripheral location of the pupilomotor fibres may explain the tendency for compressive lesions to involve the pupil and non-compressive lesions to spare it 5.
The mass expanded the sella, compressing the left cavernous sinus and the left internal carotid artery with superior displacement of the optic chiasm Fig.
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Optochiasmatic syndrome from adhesive arachnoiditis with coesxisting hypophyseal adenoma: Headache is common and may be the pituitadia presenting symptom. Thrombotic and haemorrhagic complications in patients with You can change the settings or obtain more information by clicking here.
SNIP measures contextual citation impact by wighting citations based on the pituutaria number of citations in a subject field. It may be caused by vasospasm or direct compression of cerebral vessels by the tumor. Minimal peripheral enhancement following administration of intravenous gadolinium was noted.
We report a case of pituitary apoplexy associated with cerebral infarction and discuss the relationship between the two events. Williams and Wilkins; There was no history of loss of consciousness, neck stiffness or features apopljia of seizure activity.
Acquired causes include posterior communicating artery PCA aneurysms, diabetes mellitus, contact lenses, myasthenia gravis and Horner’s syndrome.
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Emergency computed tomography CT of the brain demonstrated no subarachnoid haemorrhage. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. Are you a health professional able to prescribe or dispense drugs? Oculomotor nerve palsies generally develop as the end stage of an expanding tumour, combined with visual loss.
It is published every 2 months 6 issues per year. Services on Demand Article. At surgery, a haemorrhagicpituitary adenoma was found. Neurosurgery journals Neurosurgery society Useful addresses.
Pituitary apoplexy constitutes a syndrome that is characterized by the ischemic infarction or hemorrhage into a pituitary tumour. Dtsch Med Wochenschr ; Ann Ophthalmol ; 9: Pituitary tumours are the most common sellar masses, frequently presenting with visual impairment and endocrine abnormalities.
The clinical presentation varies widely and includes asymptomatic cases, classical pituitary apoplexy and even sudden death. Cerebral ischemia due to pituitary apoplexy is very rare.
Subscriber If you already have your login data, please click here. Print Send to a friend Export reference Mendeley Statistics. Intracranial dissemination of a macroprolactinoma. Both patients were male, had surgically confirmed pituitary apoplexy and presented with left sided ptosis.
There was a previous history of hypertension but not diabetes mellitus. A patient with sudden onset of ptosis, particularlywith a complete oculomotor palsy is most likely to be diagnosed as a posterior communicating artery aneurysm and not a pituitary tumour.