Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000079.xml
Skull Base 2010; 20(4): 285-288
DOI: 10.1055/s-0030-1249243
DOI: 10.1055/s-0030-1249243
CASE REPORT
© Thieme Medical Publishers
Fatal Bilateral ACA Territory Infarcts after Pituitary Apoplexy: A Case Report and Literature Review
Further Information
Publication History
Publication Date:
01 March 2010 (online)
ABSTRACT
Apoplexy of pituitary tumors is a common occurrence. In addition to commonly known presentations, cerebral infarcts and consequent focal neurologic deficits are a rare presentation. A rare case of pituitary apoplexy with associated subarachnoid bleed and bilateral anterior cerebral artery infarcts is described. Vasospasm leading to cerebral infarcts and consequent focal neurologic deficits as a presentation of pituitary apoplexy needs to be better appreciated.
KEYWORDS
Pituitary apoplexy - cerebral infarcts
REFERENCES
- 1 Schnitker M T, Lehnert H B. Apoplexy in a pituitary chromophobe adenoma producing the syndrome of middle cerebral artery thrombosis; case report. J Neurosurg. 1952; 9 210-213
- 2 Lomban E, Bonneville F, Karachi C, Abdennour L, Dormont D, Chiras J. Massive stroke in a patient with pituitary apoplexy, cervical carotid artery stenosis and hypotension. J Neuroradiol. 2006; 33 259-262
- 3 Cardoso E R, Peterson E W. Pituitary apoplexy and vasospasm. Surg Neurol. 1983; 20 391-395
- 4 Majchrzak H, Wencel T, Dragan T, Bialas J. Acute hemorrhage into pituitary adenoma with SAH and anterior cerebral artery occlusion. Case report. J Neurosurg. 1983; 58 771-773
- 5 Bhansali A, Dutta P, Khandelwal N, Pathak A, Vashisht R. Pituitary apoplexy: an unusual cause of frontal lobe syndrome. Australas Radiol. 2005; 49 127-131
- 6 Catenoix H, Nighoghossian N, Honnorat J et al.. [Necrosis of a hypophyseal adenoma and ischemic cerebral vascular accident]. Rev Neurol (Paris). 2002; 158 734-736 , [Article in French]
- 7 Rosenbaum T J, Houser O W, Laws E R. Pituitary apoplexy producing internal carotid artery occlusion. Case report. J Neurosurg. 1977; 47 599-604
- 8 Pozzati E, Frank G, Nasi M T, Giuliani G. Pituitary apoplexy, bilateral carotid vasospasm, and cerebral infarction in a 15-year-old boy. Neurosurgery. 1987; 20 56-59
- 9 Clark J D, Freer C E, Wheatley T. Pituitary apoplexy: an unusual cause of stroke. Clin Radiol. 1987; 38 75-77
- 10 Lath R, Rajshekhar V. Massive cerebral infarction as a feature of pituitary apoplexy. Neurol India. 2001; 49 191-193
Dr. Sandeep MohindraM.Ch. F.R.C.S.Ed.
Assistant Professor, Department of Neurosurgery
Postgraduate Institute of Medical Education and Research, Chandigarh, India
Email: sandeepneuro@gmail.com