Macroprolactinoma Presenting As Acute Pituitary Apoplexy: Report of a Case and Short Review of Literature

Nasir A M Al Jurayyan

doi:10.26717/bjstr.2018.05.001245

Abstract

Macroprolactinoma Presenting As Acute Pituitary Apoplexy: Report of a Case and Short Review of Literature

Highlights

Pituitary apoplexy is children is extremely rare clinical syndrome secondary to abrupt hemorrhage or infarction, complicates ≃2% of pituitary adenomas, especially nonfunctioning tumors [1,2,3,4]
The diagnosis of macroprolactinoma in this patient was established on the bases of high serum prolactin, the magnetic resorance image (MRI) findings, histopathology, white, pituitary apoplexy was explained on the bases of acute symptoms, MRI findings of blood within the gland, and hormonal deficiency [12,14]
Symptoms typically associated with pituitary apoplexy include sudden severe headache, visual field defects, decrease visual acuity, and ophthalamoaplegia

Summary

Introduction

Pituitary apoplexy is children is extremely rare clinical syndrome secondary to abrupt hemorrhage or infarction, complicates ≃2% of pituitary adenomas, especially nonfunctioning tumors [1,2,3,4]. Headache of sudden and severe onset is the main symptom, sometimes associated with visual disturbances or ocular palsy. Signs of meningeal irritation or altered consciousness may complicate the diagnosis [5]. Precipitating factors (increase in intracranial pressure, arterial hypertension, major surgery, anticoagulant therapy or dynamic testing, etc) may be identified [6,7,8,9]. Magnetic resonance imaging confirms the diagnosis by revealing a pituitary tumor with hemorrhagic and/or necrotic components [10,11]. In we report a case of pituitary apoplexy who present with acute headache, visual loss and vomiting.

Objectives

Conclusion