Unusual bifrontal cerebral infarction related to pituitary apoplexy. An uncommon presentation and literature review.
| Autor: | Holanda TSF; Department of Neurosurgery, General Hospital of Fortaleza, Fortaleza, Brazil., Pimentel IMF; Department of Otorhinolaryngology, Leonardo da Vinci Hospital, Fortaleza, Brazil., Araujo PVFG; Department of Neurosurgery, General Hospital of Fortaleza, Fortaleza, Brazil., da Silva Damasceno Gomes JÍ; Department of Medicine, Ceara State University, Fortaleza, Brazil., de Morais Moreira VC; Department of Medicine, Ceara State University, Fortaleza, Brazil., Soares TBS; Department of Medicine, Ceara State University, Fortaleza, Brazil., de Albuquerque LAF; Department of Neurosurgery, General Hospital of Fortaleza, Fortaleza, Brazil. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Surgical neurology international [Surg Neurol Int] 2022 Dec 09; Vol. 13, pp. 577. Date of Electronic Publication: 2022 Dec 09 (Print Publication: 2022). |
| DOI: | 10.25259/SNI_979_2022 |
| Abstrakt: | Background: Pituitary apoplexy (PA) is a syndromic condition described in 1950. The main symptoms are headache, visual impairment, ophthalmoplegia, and hypopituitarism. The relationship between stroke and PA is uncommon and two mechanisms are described: vascular compression and vasospasm. Case Report: A 65-old-year man presented with severe headache, vomiting, ophthalmoplegia, and somnolence. Radiological examinations showed an expansive sellar and suprasellar lesion with a heterogeneous signal, besides Diffusion-weighted imaging (DWI) restriction in the bifrontal area was present. The findings were compatible with PA and stroke. Conclusion: PA leading to cerebral infarction is a rare condition that presents high morbidity and mortality levels. There are two main mechanisms related: direct arterial compression and arterial vasospasm. The cases must be conducted as neuroendocrinological emergencies and surgical management is a key point to better the prognosis of patients. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 Surgical Neurology International.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|