Pituitary tumor apoplexy

Pituitary tumor apoplexy.

Pituitary tumor apoplexy is a medical emergency due to acute infarction or hemorrhage in the pituitary gland. In this review, the authors discuss the sellar anatomy, the pituitary gland and adenomas' vascularization and the general aspects of the syndrome such as its ethiopatogenesis, predisposing factors, clinical features, treatment and prognosis.

Conservative management of pituitary tumor apoplexy.

Pituitary tumor apoplexy is a rare neuroendocrine syndrome resulting, in most cases, from hemorrhage or infarctation of a pre-existing pituitary adenoma. Treatment recommendations vary; some authors advocate urgent surgical decompression of the tumor, whereas others suggest that conservative management can lead to recovery of neuro-ophthalmologic function. We describe two patients with pituitar...

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...

Pituitary apoplexy during pregnancy

The pituitary apoplexy is a rare and fatal complication of the pituitary adenoma; it represents 0.6 to 10%. This is a clinical syndrome resulting from a fulminant pituitary expansion due to a bleeding and\or a pituitary infarcissement. We report the case of a 29-year-old patient who consults for an amenorrhoea with spontaneous galactorrhea and chronic headaches evolving over 7 months. The balan...

Gestational Pituitary Apoplexy