Pituitary apoplexy after stimulation tests.

Pituitary apoplexy after stimulation tests.

Pituitary apoplexy occurs after infarction of a non-neoplastic pituitary or sudden expansion of an adenoma following haemorrhage or infarction. It usually occurs spontaneously but can follow a number of causes including pituitary stimulation tests. Since this complication is potentially life-threatening, the benefits of subjecting patients who might have pituitary tumours to such tests should b...

Pituitary apoplexy after spinal anaesthesia.

We report the case of a previously healthy 51-yr-old male who underwent an uneventful total hip replacement under spinal anaesthesia. His immediate postoperative course was complicated by the development of a severe frontal headache. Initial conservative treatment included oral analgesics and an epidural blood patch. The headache persisted and was followed by progressive vision loss and a right...

Pituitary apoplexy after thyrotropin-releasing hormone stimulation test in a patient with pituitary macroadenoma.

Pituitary apoplexy is a rare complication of pituitary tumors. We report a case of a 41-year-old female with acromegaly due to a pituitary macroadenoma, who developed pituitary apoplexy after a thyrotropin-releasing hormone (TRH) 200 microgram intravenous injection stimulation test. Neither emergency computed tomography (CT) scans nor magnetic resonance imaging (MRI), performed 6 hours and 12 h...

[Remission of Cushing's disease after pituitary apoplexy].

La apoplejı́a hipofisaria se define como el sı́ndrome clı́nico que se da tras la hemorragia o infarto espontáneo de la glándula pituitaria, en general en el contexto de un adenoma preexistente. Su etiopatogenia no se conoce con exactitud, aunque existen múltiples factores de riesgo descritos y parece que es más frecuente en macroadenomas no funcionantes. Clı́nicamente se manifiesta como cefalea bru...

[Resolution of acromegalic cardiomyopathy after pituitary apoplexy].