Pituitary apoplexy presenting as massive subarachnoid haemorrhage
| Autor: | Adnan Awada, N A Russell, Ahmed Al Ferayan, Matthew Omojola, Mohammed Al Jumah, Mohammed Al Wohaibi |
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| Jazyk: | angličtina |
| Rok vydání: | 2000 |
| Předmět: |
Subarachnoid hemorrhage
Contrast enhancement medicine.diagnostic_test business.industry Pituitary apoplexy Magnetic resonance imaging medicine.disease Psychiatry and Mental health Level of consciousness Anesthesia medicine Vomiting Surgery Subarachnoid haemorrhage Neurology (clinical) medicine.symptom Differential diagnosis business Letters to the Editor |
| Popis: | Pituitary apoplexy is an uncommon, but well recognised clinical syndrome, which usually results from ischaemic or haemorrhagic necrosis of a pituitary adenoma.1 It is characterised by the abrupt onset of severe headache, visual impairment, ophthamolplegia and often, a deteriorating level of consciousness.2 Signs of meningeal irritation are frequent accompaniments, which may confuse the clinical picture with that of aneurysmal subarachnoid haemorrhage (SAH). We report a case of massive SAH caused by pituitary apoplexy and present the CT and MRI findings. A 72 year old woman, with nothing in her history to suggest pituitary dysfunction, presented with the abrupt onset of severe headache, vomiting, and gradually deteriorating level of consciousness. A CT examination of the brain without contrast enhancement showed an extensive … |
| Databáze: | OpenAIRE |
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