APOPLEJIA HIPOFISARIA PDF

Background: Pituitary apoplexy is a clinical syndrome reflecting a rapid expansion of sellar content, typically secondary to a stroke in a previous pituitary adenoma. This pathology is a rare complication, and, therefore, underdiagnosed. The consequences of a delay in the diagnosis are translated into serious functional and even deadly complications for the patient. Case report: We present the case of a year-old male patient, who began his condition with a diffuse clinical setting, characterized by headache, amblyopia, and alterations of consciousness. The diagnosis was pituitary apoplexy, and secondary hypopituitarism, and it was treated in a conservative way, with steroid anti-inflammatories and hormonal substitution. The patient presented a psychotic episode induced by steroids, due to the supraphysiological doses used, necessary to reverse the existing neurological damage; however, it ended in a restitutio ad integrum 15 days after medical treatment, without requiring neuro-surgical intervention.

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Background: Pituitary apoplexy is a clinical syndrome reflecting a rapid expansion of sellar content, typically secondary to a stroke in a previous pituitary adenoma. This pathology is a rare complication, and, therefore, underdiagnosed. The consequences of a delay in the diagnosis are translated into serious functional and even deadly complications for the patient. Case report: We present the case of a year-old male patient, who began his condition with a diffuse clinical setting, characterized by headache, amblyopia, and alterations of consciousness.

The diagnosis was pituitary apoplexy, and secondary hypopituitarism, and it was treated in a conservative way, with steroid anti-inflammatories and hormonal substitution. The patient presented a psychotic episode induced by steroids, due to the supraphysiological doses used, necessary to reverse the existing neurological damage; however, it ended in a restitutio ad integrum 15 days after medical treatment, without requiring neuro-surgical intervention.

Conclusions: The clinical case presented and its resolution are clear evidence of the importance of a timely and adequate diagnosis, given that being detected in early stages, and treated early according to the evolution of the pathology, will not always require surgical intervention, allowing a total neurological restitution.

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Optional text in email:. Save Cancel. Create a file for external citation management software Create file Cancel. Cite Favorites. Abstract in English , Spanish. Similar articles Pituitary apoplexy causing acute ischemic stroke: Which treatment should be given priority. Ahn JM, et al. Surg Neurol Int. Empty Sella in the Making. World Neurosurg. Epub May PMID: Apoplexy in pituitary macroadenoma: eight patients presenting in 12 months.

Medicine Baltimore. Abbas MS, et al. Am J Case Rep. Literature review]. Frankart L, et al. Acta Clin Belg. PMID: Review. Show more similar articles See all similar articles. Publication types English Abstract Actions. Copy Download.

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Citas 1. Pituitary apoplexy: endocrine, surgical and oncological emergency. Incidence, clinical course and treatment with reference to cases of pituitary adenomas. Acta Neurochir Wien. Acute degenerative changes in adenoma of the pituitary body-with special reference to pituitary apoplexy. J Neurosurg. Bailey P: Pathological report of a case of acromegaly, with special reference to the lesions in the hypophysis cerebri and in the thyroid gland; and a case of haemorrhage into the pituitary.

DEJAME QUE TE CUENTE DE JORGE BUCAY PDF

[Pituitary Apoplexy Secondary to Pituitary Macroadenoma, a Diagnostic Challenge]

Asian J Neurosurg. DOI: Med Sur. Rev Endocrinol Nutr. Apoplexy in nonfunctioning pituitary adenomas. Shatri J, Ahmetgjekaj I.

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