Request PDF on ResearchGate | Apoplejía pituitaria. Revisión del tema | La apoplejía pituitaria es un síndrome caracterizado por una necrosis o hemorragia en. La apoplejía pituitaria es normalmente el resultado de un infarto hemorrágico que acontece a un adenoma hipofisario. La presentación clínica comprende un. Abstract. ZAMORA, Adrián; MARTINEZ, Paola and BAYONA, Hernán. Pituitary tumor apoplexy. Acta Med Colomb [online]. , vol, n.3, pp
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Cerebral ischemia due to pituitary apoplexy is very rare. Case 2 A year-old male of African descent presented with a history of sudden severe headache followed by closure of his left eye.
xpoplejia The following patients remind us that pituitary apoplexy is an uncommon but important associated finding in acute unilateral ptosis. Central nervous system neoplasms. CiteScore measures average citations received per document published. Aneurysms of the PCA are an important cause of oculomotor nerve lesions from compression of the nerve outside the central nervous system CNSas it passes near the junction of the PCA with the supraclinoid portion of the internal carotid artery near the cavernous sinus.
There is no proven association between pituitary tumours and aneurysms but they may coexist due to the frequency of occurrence of both. This entity requires the prior existence of an adenoma in order to be named as pituitary tumor apoplejja, otherwise, it should be named pituitary apoplexy. An unruptured posterior communicating artery aneurysm was suspected and urgent cerebral angiography performed.
To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. Emergency CT demonstrated no subarachnoid haemorrhage but showed an isodense uprasellar mass with an enlarged pituitary fossa.
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In the early postoperative period, there was complete resolution of his ptosis. J La State Med Soc ; This item has received. South Med J ; How to cite this article.
The sudden increase in pressure of the sella turcica’s contents results in a clinical syndrome characterized by headache which can be “thunderclap headache”visual apolpejia and hypopituitarism.
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Treatment consists in urgent sellar decompression by transsphenoidal surgery and substitute therapy with steroids. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Effective bromocriptime treatment of a ptiotary macroadenoma during pregnancy.
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Minimal peripheral enhancement following administration of intravenous gadolinium was noted. Visual field assessment revealed left nasal loss and mild constriction of the right nasal field. Article in pdf format Article in xml format Article pituiaria How to cite this article Automatic translation Send this article by e-mail. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.
Digital subtraction angiography of the carotid and vertebral circulation revealed persistent narrowing of the left carotid siphon but no aneurysm. It has been reported postoperatively, in association with pregnancy, following treatment of a macroprolactinoma and related to adhesive arachnoiditis.
Pituitary apoplexy after subtotal thyroidectomy in an acromegalic patient with a large goiter. Brant W, Helms C eds.
Oculomotor nerve palsies generally develop as the end stage of an expanding tumour, combined with visual loss. On examination, there was a complete oculomotor nerve palsy. Recurrent oculomotor palsy due to haemorrhage in pituitary adenoma. The Journal accepts works written in Spanish or English. There was superior compression of the central optic chiasma Fig.
Tumours of the central nervous system. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. The previous medical history was noncontributory. The topographical anatomy of the oculomotor nerve with the peripheral location of the pupilomotor fibres may explain the tendency for compressive lesions to involve the pupil and non-compressive lesions to spare it 5.
Services on Demand Article. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. It may be caused by vasospasm or direct compression of cerebral vessels by the tumor. Clinically the patient develops sudden headache, meningismus, visual disturbances, even blindness, and occasionally decrease in level of consciousness. Anisocoria was not a consistent feature and extraocular muscle palsies varied between patients.
West Indian Medical Journal – Pituitary apoplexy associated with ptosis
SRJ is a prestige metric based on the idea that not all citations are the same. Headache is common and may be the only presenting symptom. Print Send to a friend Export reference Mendeley Statistics. Pituitary adenoma is the most common tumour of the sella turcica and suprasellar cistern.
There was a previous history of hypertension but not diabetes mellitus. Postgrad Med J ; Ptosis is a previously reported but rare presenting feature and may result from haemorrhage into the tumour. SRJ is a prestige metric based on the idea that not all citations are the same.