Meningism and Pituitary Coma

Meningism and Pituitary Coma.

Pituitary coma with continuing menstruation.

A case of pituitary coma with continuing menstruation is presented. This association is extremely rare, but a history of recent menstrual periods does not exclude advanced hypopituitarism from the differential diagnosis of severe hyponatraemia.

A survival case of myxedema coma of pituitary origin.

A successfully treated patient with myxedema coma of pituitary origin is reported. A forty-three year old woman, having a typical history of Sheehan's syndrome, was precipitated into the state of shock and coma. The coma was characterized with clinical features of myxedema coma, such as hypothermia, bradycardia and shallow respiration. The patient recovered from shock after intravenous administ...

Meningism following Salmonella virchow food poisoning.

Thirty six patients were admitted to hospital as a result of Salmonella virchow infection during an outbreak of food poisoning in Essex in 1984. Out of 12 patients with evidence of bloodstream invasion, one third presented primarily with meningism and attention is drawn to this unusual clinical picture.

Spinal subarachnoid haemorrhage presenting as spinal block without meningism.

A case of spinal subarachnoid haemorrhage with progressive spinal cord compression and without any evidence of meningism is described. Spinal block was demonstrated by myelography and computerized tomography and surgical decompression of the subarachnoid blood clot resulted in almost complete recovery. A diagnosis of spinal subarachnoid haemorrhage should be considered in any patient who presen...