Pituitary apoplexy presenting as an intraventricular hemorrhage: An infrequent neurovascular emergency

Autor: Gabriel Torrealba-Acosta, MD, Emmanuelle Vargas-Valenciano, MD, Katherine Escoe-Bastos, MD, Juan Ignacio Padilla-Cuadra, MD
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 10, Iss , Pp 146-149 (2017)
Druh dokumentu: article
ISSN: 2214-7519
DOI: 10.1016/j.inat.2017.09.012
Popis: Pituitary macroadenomas may present with a pituitary apoplexy, commonly with associated hemorrhage, but rarely large enough to show an intraventricular bleeding. This is a case report of a 66-year-old woman with a 3-month history of headache, hyporexia, asthenia and altered consciousness. First evaluations showed a large intraventricular hemorrhage on CT scan that was initially misdiagnosed for an aneurysmal rupture etiology but later confirmed to be a pituitary apoplexy from a large pituitary adenoma. Intraventricular hemorrhage due to a pituitary apoplexy could be mistaken for an aneurysmal origin thus warranting for a careful evaluation of the sellar region. Keywords: Pituitary apoplexy, Macroadenoma, Intraventricular hemorrhage
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