Midbrain hemorrhage mimicking pituitary apoplexy in patient using anticoagulation therapy

Abstract

Pituitary apoplexy represents a hemorrhage or infarction of the pituitary gland and has its occurrence often related in the context of a pituitary adenoma1. In classical pituitary apoplexy, headache, usually of sudden and severe onset, is the most common presenting symptom and hypertension and anticoagulation have been described as relevant predisposing factors1,2. The risk of cranial nerve palsies leading to double vision and/or vision loss and the risk of acute panhypopituitarysm leading to death in the event of apoplexy have [...]