Pituitary Adenoma with Apoplexy with Arteriovenous Malformation

Abstract

Background This is a rare association of pituitary adenoma with apoplexy with arteriovenous malformation as only single case was reported prior to this case as per our knowledge.

Case Description A 25-year-old man presented with chief complaints of headache of sudden onset, severe in intensity with sudden loss of vision. Imaging shows pituitary adenoma with apoplexy with right parietal arteriovenous malformation. The patient was managed with embolization for parietal arteriovenous malformation and medically for pituitary adenoma with apoplexy.

Conclusion Pituitary apoplexy can be treated conservatively if no features of mass effect present. Follow-up of the patient must be done regularly to look for the size of pituitary adenoma and recurrence of arteriovenous malformation.

Keywords

arteriovenous malformation - pituitary adenoma - primary brain tumor

• References

• 1 Licata C, Pasqualin A, Freschini A, Barone G, Da Pian R. Management of associated primary cerebral neoplasms and vascular malformations: 2. Intracranial arterio-venous malformations. Acta Neurochir (Wien) 1986; 83 (1–2): 38-46
• 2 Yano H, Nakayama N, Ohe N. , et al. Surgical strategy in case with co-existence of malignant oligodendroglioma and arteriovenous malformation: a case report. Case Rep Clin Med 2013; 2: 473-478
• 3 Bitoh S, Hasegawa H, Kato A, Tamura K, Mabuchi E, Kobayashi Y. Meningeal neoplasms associated with cerebral vascular malformations. Surg Neurol 1987; 27 (05) 469-475