Pituitary apoplexy as presentation of pituitary adenoma

  • Víctor Alonso Vargas-Rubio Universidad Peruana Cayetano Heredia
  • Javier Arias-Stella Castillo Instituto de Patología y Biología Molecular Arias Stella
Keywords: Pituitary apoplexy, pituitary adenoma, pituitary tumor, headache

Abstract

A 55-year-old woman who attended for sudden intense headache, left palpebral ptosis associated with decreased visual acuity to predominance of the left eye; in addition, laboratory tests showed hyponatremia plus hypopituitarism. The cerebral magnetic resonance showed a pituitary adenoma with a large necrotic component that was later confirmed in the pathological study. It was concluded in a pituitary apoplexy as a form of presentation of a pituitary adenoma without prior diagnosis, with good evolution of visual symptoms after surgery.

Downloads

Download data is not yet available.

References

Carral San Laureano F, Gavilan Villarejo I, Garcia Gil D, et al. Apoplejía hipofisaria. Protocolo de actuación diagnóstica y terapéutica en urgencias. Emergencias. 2001; 13:279-282.

Bi WL, Dunn IF, Laws ER Jr. Pituitary apoplexy. Endocrine. 2015 Feb;48(1):69-75. doi: 10.1007/s12020-014-0359-y. Epub 2014 Jul 26. PMID: 25063308.

Robles Torres E, Mendoza Choqueticlla JA, Bartolomé Copa JL, Leal Curi L & Carrasco Palomeque I. (2017).Apoplejía hipofisaria, presentación de dos casos clínicos y revisión del tema. Revista Cubana de Endocrinología, 28(3), 1-13.

Glezer A, Bronstein MD. Pituitary apoplexy: pathophysiology, diagnosis and management. Arch Endocrinol Metab. 2015 Jun;59(3):259-64. doi: 10.1590/2359-3997000000047. PMID: 26154095.

Adams W. A case report from the ancient past. Am J Case Rep, 2019; 20: 1907-1914.

Fernandez A, Karavitaki N,Wass J. Prevalence of pituitary adenomas: a community -based, cross -sectional study in Banbury (Oxfordshire, UK). Clinical Endocrinology. 2010;72, 377-382.

Raappana A, Koivukangas J, Ebeling T, et al, Incidence of pituitary adenomas in Northern Finland in 1992-2007. J. Clin Endocrinol Metab. September 2010, 95(9): 4268-4275.

Briet C, Salenave S, Chanson P. Pituitary apoplexy. Endocrinol Metab Clin North Am. 2015 Mar;44(1):199-209.

Pinto Sánchez J, Villena Chávez J, Villena Pacheco A, et al. Apoplejía pituitaria: Reporte de dos casos. Rev Med Hered. 2007; 18: 165-172.

Sánchez Tinajero A., Ruiz Santillán D., Apoplejía hipofisaria secundaria a macroadenoma hipofisario, un reto diagnóstico. Rev Med Inst Mex Seguro Soc. 2019; 57(4): 259-63.

Almudena V, Lecumberri B, Ángeles M. Guía de práctica clínica para el diagnóstico y tratamiento de la apoplejía hipofisaria. Endocrinol Nutr. 2013;60(10):582, 1-12.

Sibal L, Ball S, Connolly V, et al. Pituitary apoplexy: A review of clinical presentation, management and outcome in 45 cases. Pituitary. 2004;7:157-163.

Briet C, Salenave S, Bonneville J, et al. Pituitary Apoplexy. Endocrine Reviews. 2015,36(6): 622-645.

Catalá M, Picó A, Tortosa F, et al. Guía clínica del diagnóstico y tratamiento de la apoplejía hipofisaria. Endocrinol Nutr. 2006;53(1):19- 24.

Wichlinska-Lubinska M, Kozera G. Pituitary apoplexy. Neurol Neurochir Pol. 2019;53(6):413-420

Pyrgelis E, Mavridis I, Meliou M. Presenting symptoms of pituitary apoplexy. J Neurol Surg A. 2018;79: 52-59.

Rajasekaran S., Vanderpump M., Baldeweg S., UK guidelines for the management of pituitary apoplexy. Clinical Endocrinology. 2011;74, 9-20.

Glezer A, Bronstein M. Pituitary apoplexy: pathophysiology, diagnosis and management. Arch Endocrinol Metab. 2015 Jun;59(3):259-64.

Donovan Post M, David N, Glaser J, et al. Pituitary apoplexy: Diagnosis by computed tomography. Radiology. 1980;134:665-670.

Boellis A, Napoli A, Romano A, et al. Pituitary apoplexy: an update on clinical and imaging features. Insights Imaging. 2014; 5:753-762.

Goyal P, Utz M, Gupta N, et al., Clinical and imaging features of pituitary apoplexy and role of imaging in differentiation of clinical mimics. Quant Imaging Med Surg. 2018; 8(2): 219-231.

Capatina C, Inder W, Karavitaki N, et al. Management of Endocrine Disease -Pituitary tumour apoplexy. European Journal of Endocrinology. 2015;172: R179-R190.

Barkhoudarian G, Kelly D. Pituitary apoplexy. Neurosurg Clin N Am 2019, 1-6..

Goshtasbi K,Abiri A, Sahyouni R, et al.,Visual and endocrine recovery following conservative and surgical treatment of pituitary apoplexy: A meta-analysis. World Neurosurgery. 2019132: 33-40.

Agrawal D, Mahapatra AK.Visual outcome of blind eyes in pituitary apoplexy after transsphenoidal surgery: a series of 14 eyes. Surg Neurol. 2005 Jan;63(1):42-6; discussion 46. doi: 10.1016/j.surneu.2004.03.014. PMID: 15639521.

Published
2021-09-11
How to Cite
Vargas-Rubio, V. A., & Arias-Stella Castillo, J. (2021). Pituitary apoplexy as presentation of pituitary adenoma. Revista De La Sociedad Peruana De Medicina Interna, 34(3), 114-118. https://doi.org/10.36393/spmi.v34i3.612
Section
Case report