Pituitary apoplexy after spinal anaesthesia

Pituitary apoplexy after spinal anaesthesia.

We report the case of a previously healthy 51-yr-old male who underwent an uneventful total hip replacement under spinal anaesthesia. His immediate postoperative course was complicated by the development of a severe frontal headache. Initial conservative treatment included oral analgesics and an epidural blood patch. The headache persisted and was followed by progressive vision loss and a right...

Pituitary apoplexy after stimulation tests.

Pituitary apoplexy occurs after infarction of a non-neoplastic pituitary or sudden expansion of an adenoma following haemorrhage or infarction. It usually occurs spontaneously but can follow a number of causes including pituitary stimulation tests. Since this complication is potentially life-threatening, the benefits of subjecting patients who might have pituitary tumours to such tests should b...

[Remission of Cushing's disease after pituitary apoplexy].

La apoplejı́a hipofisaria se define como el sı́ndrome clı́nico que se da tras la hemorragia o infarto espontáneo de la glándula pituitaria, en general en el contexto de un adenoma preexistente. Su etiopatogenia no se conoce con exactitud, aunque existen múltiples factores de riesgo descritos y parece que es más frecuente en macroadenomas no funcionantes. Clı́nicamente se manifiesta como cefalea bru...

[Resolution of acromegalic cardiomyopathy after pituitary apoplexy].

Pituitary apoplexy.

Pituitary apoplexy, a rare clinical syndrome secondary to abrupt hemorrhage or infarction, complicates 2%-12% of pituitary adenomas, especially nonfunctioning tumors. Headache of sudden and severe onset is the main symptom, sometimes associated with visual disturbances or ocular palsy. Signs of meningeal irritation or altered consciousness may complicate the diagnosis. Precipitating factors (in...