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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2021; 40(04): e364-e367
DOI: 10.1055/s-0041-1733947
Case Report | Relato de Caso

Pituitary Apoplexy, Meningitis and Cerebral Infarction - A Perplexing Trifecta

Apoplexia hipofisária, meningite e infarto cerebral – um trifecta desconcertante
Thirumalai V. Srivatsan 
1   Department of Neurosurgery, Medical Trust Hospital, Kochi, Kerala, India
,
Haroon M. Pillay
1   Department of Neurosurgery, Medical Trust Hospital, Kochi, Kerala, India
,
Lakshay Raheja 
1   Department of Neurosurgery, Medical Trust Hospital, Kochi, Kerala, India
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Abstract

Pituitary apoplexy (PA) is a clinical diagnosis comprising a sudden onset of headache, neurological deficits, endocrine disturbances, altered consciousness, visual loss, or ophthalmoplegia. However, clinically, the presentation of PA is extremely variable and occasionally fatal. While meningitis and cerebral infarcts are themselves serious diseases, they are rarely seen as manifestations of PA and are exceedingly rare when present together.

We present the case of a 20-year-old male with a rapid progression of symptoms of meningitis, PA and stroke. The present article seeks to emphasize a rare manifestation of PA with an attempt to understand the intricacies of its evaluation and management.

Resumo

A apoplexia hipofisária (AP) é um diagnóstico clínico que compreende um início súbito de dor de cabeça, déficits neurológicos, distúrbios endócrinos, alteração da consciência, perda de visão ou oftalmoplegia. No entanto, clinicamente, a apresentação de PA é extremamente variável e ocasionalmente fatal. Embora a meningite e os infartos cerebrais sejam eles próprios graves doenças, eles raramente são vistos como manifestações de PA e são extremamente raros quando presentes juntos.

Apresentamos o caso de um homem de 20 anos com uma rápida progressão dos sintomas de meningite, PA e acidente vascular cerebral. O presente artigo busca enfatizar uma manifestação rara. da AP na tentativa de compreender as complexidades de sua avaliação e manejo.

Keywords

pituitary apoplexy - stroke - cerebral infarct - meningitis

Palavras-chave

apoplexia pituitária - derrame - enfarte cerebral - meningite

Disclosure

The authors certify that the present work is genuine, original, and has not submitted anywhere, either in part or in full. They also declare that they have no financial or nonfinancial competing interests.




Publication History

Received: 11 December 2020

Accepted: 16 June 2021

Article published online:
03 August 2021

© 2021. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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