Importante información para todos los medicos y para la población general. Como siempre lo he dicho la información abre puertas.
-Pituitary apoplexy refers to pituitary infarction
-It is a rarecondition. Often occurs spontaneously from hemorrhage or an infarction of a pre-existing pituitary adenoma. It can also refer to sudden infarction of the pituitary in the absence of a pituitary adenoma.
–Pregnancy and trauma have also been associatedwith the condition.
-Think Pituitary Apoplexy in a patient with sudden severe headache with vision changesand a known history of a stable pituitary adenoma!
-Common precipitating factors include recent major surgery, being on anticoagulation, and hypertension.
-Common symptoms include headache, vomiting, visual field defects, and ocular paresis.
–Hyponatremia (caused from SIADH) has also been demonstrated in case reports although it is less common
-Of the ocular palsy findings, 3rd nerve and 6th nerve palsies are most common.
–CT scansare generally only…
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