Pituitary apoplexy masquerading as bacterial meningitis

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Pituitary apoplexy masquerading as bacterial meningitis.

1812 CMAJ, November 6, 2012, 184(16) © 2012 Canadian Medical Association or its licensors A67-year-old woman with treated hypertension presented with headache, vomiting, light sensitivity and partial loss of vision. On examination, she had a temperature of 38.4°C and left temporal hemianopia. Her examination was otherwise unremarkable. Investigations showed a C-reactive protein level of 295 (no...

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Pituitary Apoplexy Mimicking Meningitis

Pituitary apoplexy is a rare but life-threatening disorder. Clinical presentation of this condition includes severe headaches, impaired consciousness, fever, visual disturbance, and variable ocular paresis. The clinical presentation of meningeal irritation is very rare. Nonetheless, if present and associated with fever, pituitary apoplexy may be misdiagnosed as a meningitis. We experienced a ca...

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A 41-yr-old man was admitted with acute headache, neck stiffness, and febrile sensation. Cerebrospinal fluid examination showed pleocytosis, an increased protein level and, a decreased glucose concentration. No organisms were observed on a culture study. An imaging study revealed pituitary macroadenoma with hemorrhage. On the 7th day of the attack, confusion, dysarthria, and right-sided facial ...

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ژورنال

عنوان ژورنال: Canadian Medical Association Journal

سال: 2012

ISSN: 0820-3946,1488-2329

DOI: 10.1503/cmaj.120174