Pituitary tumor apoplexy

被引:39
|
作者
Johnston, Philip C. [1 ,2 ]
Hamrahian, Amir H. [2 ]
Weil, Robert J. [3 ]
Kennedy, Laurence [2 ]
机构
[1] Royal Victoria Hosp, Reg Ctr Endocrinol & Diabet, Belfast BT12 6BA, Antrim, North Ireland
[2] Cleveland Clin Fdn, Dept Endocrinol Diabet & Metab, Cleveland, OH 44195 USA
[3] Geisinger Hlth Syst, Dept Neurosurg, Danville, PA USA
关键词
Apoplexy; Cranial nerve palsy; Hypopituitarism; Pituitary adenoma; Visual fields; TRANSSPHENOIDAL RESECTION; PRECIPITATING FACTORS; INTRASELLAR PRESSURE; CUSHINGS-DISEASE; VISUAL OUTCOMES; FOLLOW-UP; MANAGEMENT; ADENOMAS; HEMORRHAGE; INFARCTION;
D O I
10.1016/j.jocn.2014.11.023
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We review the etiology, investigations, management and outcomes of pituitary tumor apoplexy. Pituitary tumor apoplexy is a clinical syndrome which typically includes the acute onset of headache and/or visual disturbance, cranial nerve palsy and partial or complete endocrine dysfunction. It is associated with either infarction or hemorrhage of a pre-existing pituitary adenoma and is associated with significant morbidity and potential fatality. Not all patients will present with classic signs and symptoms, therefore it is pertinent to appreciate the clinical spectrum in which this condition can present. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:939 / 944
页数:6
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