OBJECTIVE To report a case of pituitary adenoma apoplexy presenting with bilateral proptosis and bilateral third nerve palsy that developed after cardiovascular surgery. CLINICAL PRESENTATION AND INTERVENTION A 45-year-old man developed bilateral proptosis and bilateral third nerve palsy after a coronary artery bypass grafting operation. A pituitary macroadenoma with extension into the spheno...

We present the evolution of pituitary changes in the cases of 2 patients with Sheehan syndrome as assessed by MR imaging. Both patients had severe postpartum hemorrhage, symptoms of pituitary gland apoplexy, and hypopituitarism. Sequential MR imaging demonstrated evidence of ischemic infarct in the pituitary gland with enlargement followed by gradual shrinkage during several months, to pituitar...

Pituitary apoplexy may cause xanthochromia and mimic the clinical presentation of subarachnoid hemorrhage.

Pituitary apoplexy is a rare condition which may cause death of the patient in severe cases and many times leads to hypopituitarism. We report a case of apoplexy in a large prolactinoma resulting in empty sella syndrome followed by a successful pregnancy. Our patient is a 32-year-old female with a history of a macroprolactinoma for approximately 17 years who presented to our hospital with a his...

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...

To cite: Tan HL, Manjunatha R, Barton D. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-205613 DESCRIPTION A 31-year-old woman with a 20-year history of type 1 diabetes presented with a 2-month history of recurrent disabling hypoglycaemia. Common causes of hypoglycaemia which included excess insulin, missing meals and unaccustomed exercise had been excluded...

This report deals with a detailed course of one patient with acromegaly who had a pituitary apoplexy. The pituitary apoplexy occurred suddenly 5 days after administration of a oral hypoglycemic agent, buformin, during hospitalization. Immediately after the attack changes of the concentrations of several hormones such as serum growth-hormone, serum thyroid hormone and urinary 17-hydroxycorticoid...

A 24-year-old woman was admitted with general weakness, umbilical swelling, developmental delay, speech disorder, constipation, gait problem. Her findings were umbilical hernia, xerosis, dry hair, and short stature. After thyroxine treatment, she also had headache, vomiting, and palpitation, lack of appetite, and sleep disturbance. Pituitary magnetic resonance imaging revealed a heterogeneous m...