Pituitary Apoplexy. See also pituitary apoplexy on wikipedia. Pituitary apoplexy is a life-threatening complication of pituitary adenoma caused by a sudden hemorrhage or infarction of the tumor. It is characterized by the presentation of acute, severe headache, nausea, and altered consciousness.
2015-09-22
Pituitary apoplexy is characterized by a sudden onset of headache, visual symptoms, altered mental Pituitary apoplexy is a medical and surgical emergency caused by hemorrhage or infarction of the hypophysis, which typically occurs within a pituitary adenoma. It is usually characterized by severe (often thunderclap) headache, visual disturbances, cranial nerve impairments, and hormonal deficiencie … Pituitary apoplexy is regarded by some as distinct from Sheehan's syndrome, where the pituitary undergoes infarction as a result of prolonged very low blood pressure, particularly when caused by bleeding after childbirth. Radiographically, the differential diagnosis of hypophysitis includes pituitary apoplexy and primary and secondary neoplastic lesions. Immune-related hypophysitis is most common with single-agent anti-CTLA-4, followed by the combination of anti-CTLA-4 and anti-PD-1, while occurs infrequently when anti-PD-1 or anti-PD-L1 agents are administered Pituitary apoplexy is a clinical syndrome resulting from acute hemorrhage or necrosis of the pituitary gland. The syndrome, first described by Bailey in 1898, was named by Brougham in 1950. Pituitary apoplexy often is associated with pituitary adenoma.
Differential diagnosis The differential is broadly that of a pituitary region mass , but as these patients present acutely with acute or subacute blood products, it can usually be limited to pituitary region masses with intrinsic high T1 signal . Pituitary Apoplexy; Pituitary Apoplexy. Pituitary apoplexy is caused by either death of an area of tissue (known as an infarction) or a haemorrhage in the pituitary gland. It is usually associated with the presence of a pituitary tumour. Alternative names for pituitary apoplexy.
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The pituitary gland is found at the base of the brain and serves as the body's “ master control gland” because it makes important chemicals (hormones) and
It is usually characterized by severe (often thunderclap) headache, visual disturbances, cranial nerve impairments, and hormonal deficiencie … Pituitary apoplexy is regarded by some as distinct from Sheehan's syndrome, where the pituitary undergoes infarction as a result of prolonged very low blood pressure, particularly when caused by bleeding after childbirth. Radiographically, the differential diagnosis of hypophysitis includes pituitary apoplexy and primary and secondary neoplastic lesions.
Hypophysis apoplexy Sheehan-syndrome Autoimmune disorders Lymphocytic hypophysitis Other inflammations Empty sella Hemochromatosis . 7 It was found in a population based Spanish study assessing the prevalence and incidence of hypopituitarism that pituitary tumors and perisellar masses were responsible for its
The term apoplexy usually describes larger bleeds leading to the sudden onset of symptoms. Doctors may suspect pituitary apoplexy because there is a sudden increase in the size of the tumor. This sudden increase may compress the: Pituitary apoplexy is usually associated with irreversible hypopituitarism and often ophthalmoplegia and visual loss 5. Differential diagnosis The differential is broadly that of a pituitary region mass , but as these patients present acutely with acute or subacute blood products, it can usually be limited to pituitary region masses with intrinsic high T1 signal . Pituitary Apoplexy; Pituitary Apoplexy.
The most common type is lymphocytic hypophysitis followed by granulomatous hypophysitis.
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From: Modern Surgical Pathology (Second Edition), 2009 The initial symptoms of pituitary apoplexy are related to the increased pressure in and around the pituitary gland. The most common symptom, in over 95% of cases, is a sudden-onset headache located behind the eyes or around the temples. It is often associated with nausea and vomiting. Hypophysis apoplexy is a clinical syndrome characterized by the sudden development of headache, visual disturbance, associated with nausea, vomiting, signs of meningeal irritation and ophthalmoplegia. The symptoms are caused by the hemorrhage of a hypophyseal adenoma.
Cardoso ER, Peterson EW. Pituitary apoplexy: a review. Neurosurgery 1984;14:363–73. 2. Bills DC, Meyer FB, Laws ER Jr, et al.
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Pituitary apoplexy is a medical and surgical emergency caused by hemorrhage or infarction of the hypophysis, which typically occurs within a pituitary adenoma. It is usually characterized by severe (often thunderclap) headache, visual disturbances, cranial nerve impairments, and hormonal deficiencies.
Hypofysär apoplexi som orsak till »åsk-. knallshuvudvärk« är ovanlig Huvudvärk vid hypofysär apoplexi. A. Akut retroorbital, frontal eller av M Arvidsson · 2014 · Citerat av 1 — Classical pituitary apoplexy: Clinical features, management and outcome. Clinical. Endocrinology, 51(2), 181-188. Roberts, R. E., Roberts, C. R., & Duong, H. T. Vad är hypofysen apoplexi? Hypofysapoplexi är en möjlig komplikation av en godartad hypofystumör, kallad adenom.