Although pituitary function is often impaired in pituitary apoplexy, the development of thyrotoxicosis is rare. We describe an unusual case of hypopituitarism due to pituitary apoplexy coexisting with transient hyperthyroidism. A 74-year-old woman presented with severe fatigue, palpitation, appetite loss, hypotension, and hyponatremia. Endocrine studies showed hyperthyroidism and anterior pitui...

Rathke's cleft cyst (RCC) apoplexy is a rare clinical entity. We report a case of apoplexy of an RCC followed by cerebral infarction. A 67-year-old woman was found lying on the street unconscious. She had fallen from her motorbike. On referral to our hospital she gradually regained consciousness and presented with no neurological deficits. CT showed a round and slightly hyperdense area in the s...

A patient who developed complications relating to ihtracranial arterial vasospasm following transcranial removal of a pituitary adenoma with pituitary apoplexy is reported. A 23-year-old female was admitted because of headache. Computed tomography (CT) and magnetic resonance (MR) imaging revealed a pituitary adenoma with suprasellar extension and pituitary apoplexy and sinusitis in the right ma...

Pituitary apoplexy (PA) is a rare, potentially life-threatening medical condition due to acute ischaemia or haemorrhage of the pituitary gland. The main clinical features are: abrupt onset of severe headache, nausea, vomiting, deteriorating level of consciousness, visual impairment and/or endocrine deficiency. Correct and prompt diagnosis is essential for effective therapy, but there are no ran...

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Pineal cysts are often found incidentally on cranial magnetic resonance (MR) examination. The majority are asymptomatic, but neurological symptoms can occur in large cysts (>5 mm), [1,2] and after intra-cystic haemorrhage (so-called pineal apoplexy) which has only been described a few times in the literature, almost always presenting with severe headache [2]. Here we describe a pineal apoplexy ...

This report deals with a detailed course of one patient with acromegaly who had a pituitary apoplexy. The pituitary apoplexy occurred suddenly 5 days after administration of a oral hypoglycemic agent, buformin, during hospitalization. Immediately after the attack changes of the concentrations of several hormones such as serum growth-hormone, serum thyroid hormone and urinary 17-hydroxycorticoid...

JEFFERSON, M. & ROSENTHAL, F.D. (1959) Spontaneous necrosis in pituitary tumour. Lancet, i, 342. KIRSHBAUM, J.D. & CHAPMAN, B.M. (1948) Subarachnoid hemorrhage secondary to a tumor of the hypophysis with acromegaly. Annals of Internal Medicine, 29, 536. LOPEZ, I.A. (1970) Pituitary apoplexy. Journal of the Oslo City Hospital, 20, 17. MEADOWS, S.P. (1968) Unusual clinical features and modes of p...