Pituitary Apoplexy Complicated by Cerebral Infarction: A Case Report

ABSTRACT Cerebral infarction is a rare complication of pituitary apoplexy, which can result in significant morbidity if not treated on time. Pituitary apoplexy mostly occurs in pre-existing adenoma, which can remain undiagnosed until symptoms arise. Here, we present a case of a 26-year-old man with undiagnosed acromegaly who presented with left retro-orbital pain, diminished vision of the left eye, and right hemiparesis. Neuroimaging revealed large hemorrhagic sellar mass and ischemic infarction in the left middle cerebral artery territory. Emergency transcranial tumor excision was done, which resulted in significant neurological recovery.

[1]  S. Sur,et al.  Pituitary apoplexy and Cerebral Infarction: Case Report and Literature Review. , 2020, World neurosurgery.

[2]  Chang-Yun Liu,et al.  Surgical treatment of pituitary apoplexy in association with hemispheric infarction , 2015, Journal of Clinical Neuroscience.

[3]  R. Komotar,et al.  Bilateral cerebral infarction in the setting of pituitary apoplexy: a case presentation and literature review , 2015, Pituitary.

[4]  C. Daousi,et al.  Presentation, management and outcomes in acute pituitary apoplexy: a large single‐centre experience from the United Kingdom , 2010, Clinical endocrinology.

[5]  K. Ohata,et al.  Pituitary apoplexy causing internal carotid artery occlusion--case report. , 2011, Neurologia medico-chirurgica.

[6]  G. Plant,et al.  UK guidelines for the management of pituitary apoplexy , 2011, Clinical endocrinology.

[7]  Shahzad Ahmed,et al.  Cerebral ischaemia in pituitary apoplexy , 2008, Acta Neurochirurgica.

[8]  M. Buchfelder,et al.  Transcranial surgery for pituitary adenomas , 2008, Pituitary.

[9]  E. Laws.  Pituitary Tumor Apoplexy: A Review , 2008, Journal of intensive care medicine.

[10]  E. Laws,et al.  CLINICAL RELEVANCE OF PRECIPITATING FACTORS IN PITUITARY APOPLEXY , 2007, Neurosurgery.

[11]  R. Quinton,et al.  Pituitary Apoplexy: A Review of Clinical Presentation, Management and Outcome in 45 Cases , 2005, Pituitary.

[12]  P. Caron,et al.  Pituitary Apoplexy and Idiopathic Thrombocytopenic Purpura: A New Case and Review of the Literature , 2005, Pituitary.

[13]  R. Mitchell,et al.  Acute management of pituitary apoplexy – surgery or conservative management? , 2004, Clinical endocrinology.

[14]  W. Selman,et al.  Extreme elevation of intrasellar pressure in patients with pituitary tumor apoplexy: relation to pituitary function. , 2004, The Journal of clinical endocrinology and metabolism.

[15]  H. Randeva,et al.  Classical pituitary apoplexy: clinical features, management and outcome , 1999, Clinical endocrinology.

[16]  G. Cold,et al.  Pressure and blood flow in pituitary adenomas measured during transsphenoidal surgery. , 1992, British journal of neurosurgery.

[17]  N. Woodhouse,et al.  Classical pituitary apoplexy presentation and a follow-up of 13 patients. , 1989, Hormone research.

[18]  C. Freer,et al.  Case report: Pituitary apoplexy: An unusual cause of stroke , 1987 .

[19]  R. Holness,et al.  Pituitary apoplexy following closed head trauma. Case report. , 1983, Journal of neurosurgery.

[20]  J Otradovec,et al.  [Pituitary apoplexy]. , 1972, Ceskoslovenska oftalmologie.