Abstract
Pituitary apoplexy most commonly occurs as an acute event with headache, altered consciousness, visual deficits, ophthalmoplegia and features of hypopituitarism. A 28-year-old man previously well, presented with a 36-hour history of fever, headache and neck stiffness suggestive of meningitis. CSF examination was initially interpreted as a sterile meningitis, but there were red cells present and xanthochromia consistent with subarachnoid hemorrhage. Right sided IIIrd cranial nerve palsy and dense bitemporal hemianopsia developed 3 days later. A computed tomography of the head with contrast showed a ring enhancing suprasellar mass and an MRI demonstrated a large sellar mass with hemorrhage. Endocrine evaluation, which subsequently became available, showed evidence of panhypopituitarism. Pituitary apoplexy in a nonsecretory adenoma was confirmed at transsphenoidal surgical decompression and by histopathology.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
