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Pituitary apoplexy

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https://www.readbyqxmd.com/read/28721598/a-retrospective-review-of-34-cases-of-pediatric-pituitary-adenoma
#1
Nannan Zhang, Peizhi Zhou, Yu Meng, Feng Ye, Shu Jiang
PURPOSE: The purpose of this paper is to study invasiveness, tumor features and clinical symptoms of pediatric pituitary adenoma, and to discuss some inconclusive results in prior studies. METHODS: We retrospectively reviewed 34 cases of children (<20 year-old) who were pathologically diagnosed with pituitary adenoma and surgically treated from 2010 to 2017. Data of general information, clinical symptoms, invasive behaviors, surgery approaches, and tumor features were collected and analyzed...
July 18, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28710301/pituitary-apoplexy-a-rare-complication-of-leuprolide-therapy-in-prostate-cancer-treatment
#2
Georges Tanios, Nicolas Andrews Mungo, Aaysha Kapila, Kailash Bajaj
Gonadotropin-releasing hormone agonists, used widely in the treatment of metastatic prostate cancer and hormone receptor-positive breast cancer, are associated with a rare but potentially fatal outcome of pituitary apoplexy (PA). An 85-year-old man presented with sudden onset of headache, left eye pain, sensitivity to light, nausea and vomiting. The symptoms started 4 hours after initiation of leuprolide therapy for treatment of recently diagnosed metastatic prostate carcinoma. Radiological imaging of the brain demonstrated a heterogeneously enlarged pituitary gland measuring 19×16×13 mm and T1-hyperintense signal compatible with pituitary haemorrhage...
July 14, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28669873/endoscopic-endonasal-surgery-for-pituitary-apoplexy-evidences-from-a-75-cases-series-from-a-tertiary-care-center
#3
Matteo Zoli, Laura Milanese, Marco Faustini-Fustini, Federica Guaraldi, Sofia Asioli, Corrado Zenesini, Alberto Righi, Giorgio Frank, Maria Pia Foschini, Carmelo Sturiale, Ernesto Pasquini, Diego Mazzatenta
BACKGROUND: The optimal management of PA remains debated. The aim of this study was to assess the outcome of TA in PA in a large surgical experience. MATERIALS: Each consecutive case of PA consecutively operated by EEA from our tertiary care center, from 1998 to 2015, were was included in this series. RESULTS: Seventy-five patients (47 males; mean age 52.4 ± 16.2 years, SD:16.2) were included. Mean follow-up was 69.3 ± 46.7 months. On admission, all patients presented with abrupt onset severe headache (100%), associated with nterior hypopituitarism in 51 patients (68%), visual disturbances in 55 (73...
June 29, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28658829/acute-ischaemic-stroke-as-a-manifestation-of-pituitary-apoplexy-in-a-young-lady
#4
Shaik Afsar Pasha, Laxmi Narasimhan Ranganthan, Vamsi Krishna Setty, Ramakrishna Reddy, Deepika Ananda Ponnuru
Pituitary Apoplexy (PA) is defined as a clinical syndrome comprising headache, visual deficits and altered sensorium, which can result from haemorrhage or infarction of the pituitary gland. Acute ischaemic stroke following PA is very rare. We are presenting a 35-year-old young otherwise healthy lady who presented with neuro ophthalmological and vascular symptoms on a background of PA. Imaging revealed a pituitary macro adenoma with parasellar extension with internal bleed. Cerebral angiography revealed that the mass compressed the bilateral cavernous sinuses (left more than right), resulting in obliteration of the cavernous portion of the left Internal Carotid Artery (ICA)...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28626987/prolactinomas-diagnosed-in-the-postmenopausal-period-clinical-phenotype-and-outcomes
#5
Sandhya Santharam, Metaxia Tampourlou, Wiebke Arlt, John Ayuk, Neil Gittoes, Andrew Toogood, Rachel Webster, Niki Karavitaki
OBJECTIVE: Most prolactinomas in females are diagnosed during the reproductive age and the majority are microadenomas. Prolactinomas detected in the postmenopausal period are less common with limited published data on their presentation and prognosis. Our objective was to assess the presenting clinical, biochemical and imaging findings, as well as the outcomes of women diagnosed with a prolactinoma in the postmenopausal period. DESIGN AND METHODS: We undertook a retrospective cohort study of women diagnosed with prolactinoma after menopause and followed-up in a large UK pituitary center...
June 19, 2017: Clinical Endocrinology
https://www.readbyqxmd.com/read/28601571/intrasellar-dermoid-cyst-mimicking-pituitary-apoplexy-a-case-report-and-review-of-the-literature
#6
Yuan-Bo Pan, Zhao-Liang Sun, Dong-Fu Feng
Intrasellar dermoid cysts are extremely unusual lesions, with only four cases reported to date, and have not been previously reported in association with sudden-onset symptoms. Here, we present the case of an intrasellar dermoid cyst with sudden-onset symptoms mimicking pituitary apoplexy in an elderly woman. A 69year-old woman presented with sudden onset of headache, dizziness, and decreased visual acuity. Magnetic resonance imaging of the sellar region showed an intrasellar lesion, which showed mixed hyper- and hypointense signal on T1-weighted and T2-weighted images and enhanced peripherally...
June 7, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28588003/pituitary-adenoma-apoplexy-in-an-adolescent-a-case-report-and-review-of-the-literature
#7
Hero Zijlker, Sebastian Schagen, Jan Maarten Wit, Biermasz Nienke, Wouter van Furth, Wilma Oostdijk
We present a 13-year-old boy who became progressively sleepy and experienced a sudden headache with vomiting and fever. Laboratory testing showed hypoglycemia, multiple pituitary hormonal deficiencies and elevated C-Reactive Protein (CRP). A cranial MRI showed an opaque sphenoid sinus and an intrasellar mass suspect for hemorrhage, so that we suspected a pituitary apoplexy (PA) originating from a non-functioning adenoma, although a pituitary abscess could not completely be excluded. The boy was treated with antibiotics, hydrocortisone and levothyroxine and a close follow-up to monitor the clinical course...
June 7, 2017: Journal of Clinical Research in Pediatric Endocrinology
https://www.readbyqxmd.com/read/28581357/pituitary-apoplexy-presenting-as-a-peripheral-rim-enhancing-parasellar-mass-lesion-with-dural-enhancement-along-the-tentorium
#8
Laxminadh Sivaraju, Vinay S Hegde, Narayanam As Kiran, Nandita Ghosal, Alangar S Hegde
Pituitary apoplexy is a potentially life-threatening clinical condition caused by rapid enlargement of a pituitary adenoma because of haemorrhage or infarction. The clinical features are typically acute in onset. We report an interesting case of 25-year-old man with complaints of sudden onset of headache and ophthalmoplegia in the right eye one month previously. He had ptosis and complete ophthalmoplegia in the right eye with visual acuity 6/24 and 6/12. Imaging showed a peripheral rim-enhancing mass lesion in the right parasellar and cavernous sinus with a dural tail...
January 1, 2017: Neuroradiology Journal
https://www.readbyqxmd.com/read/28570329/endocrine-emergencies-with-neurologic-manifestations
#9
Makoto Ishii
PURPOSE OF REVIEW: This article provides an overview of endocrine emergencies with potentially devastating neurologic manifestations that may be fatal if left untreated. Pituitary apoplexy, adrenal crisis, myxedema coma, thyroid storm, acute hypercalcemia and hypocalcemia, hyperglycemic emergencies (diabetic ketoacidosis and hyperglycemic hyperosmolar state), and acute hypoglycemia are discussed, with an emphasis on identifying the signs and symptoms as well as diagnosing and managing these clinical entities...
June 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28567295/stubborn-hiccups-as-a-sign-of-massive-apoplexy-in-a-naive-acromegaly-patient-with-pituitary-macroadenoma
#10
Gulay Simsek Bagir, Soner Civi, Ozgur Kardes, Fazilet Kayaselcuk, Melek Eda Ertorer
Pituitary apoplexy (PA) may very rarely present with hiccups. A 32-year-old man with classical acromegaloid features was admitted with headache, nausea, vomiting and stubborn hiccups. Pituitary magnetic resonance imaging (MRI) demonstrated apoplexy of a macroadenoma with suprasellar extension abutting the optic chiasm. Plasma growth hormone (GH) levels exhibited suppression (below <1 ng/mL) at all time points during GH suppression test with 75 g oral glucose. After treatment with corticosteroid agents, he underwent transsphenoidal pituitary surgery and hiccups disappeared postoperatively...
2017: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/28562421/ventricular-fibrillation-and-long-qt-syndrome-due-to-panhypopituitarism
#11
Milena Aste, Cesare Capellini, Elisabetta Schiappacasse, Gianluigi Devoto, Michele Brignole
: A 68-year-old man presented with ventricular fibrillation and acquired long QT due to panhypopituitarism that disappeared completely within 48 h from replacement hormonal therapy. Panhypopituitarism is not well recognized as a reversible cause of ventricular fibrillation and long-QT syndrome in medical literature. In the present case, pituitary apoplexy exhausted an already chronically hypofunctioning pituitary gland, causing QT prolongation, torsades de pointes and several cardiac arrests due to ventricular fibrillation...
May 29, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/28553611/gestational-pituitary-apoplexy
#12
Anand K Annamalai, Gopalakrishnan Jeyachitra, Anandkumar Jeyamithra, Manoharan Ganeshkumar, K G Srinivasan, Mark Gurnell
No abstract text is available yet for this article.
May 2017: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28473606/headaches-complicating-pregnancy-and-the-postpartum-period
#13
REVIEW
Mary Angela O'Neal
Headaches are a common neurological complaint during pregnancy and the postpartum period. Most are primary and benign, but there are also several secondary headaches. This review uses a practical case-based approach to the evaluation and management of the most common headaches referred for neurological consultation: primary headaches such as migraine as well as the presentation and management of some of the secondary headaches complicating pregnancy and the puerperium. These include: idiopathic intracranial hypertension, eclampsia, reversible cerebral vasoconstriction syndrome, cerebral venous thrombosis, pituitary apoplexy and postdural puncture headache...
June 2017: Practical Neurology
https://www.readbyqxmd.com/read/28437881/in-reply-to-new-oral-anticoagulants-and-pituitary-apoplexy
#14
Sebastian Senger, Stefan Linsler
No abstract text is available yet for this article.
April 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28437880/new-oral-anticoagulants-and-pituitary-apoplexy
#15
Francesco Doglietto, Elena Roca, Giuseppe La Rocca, Alberto Schreiber, Andrea Bolzoni Villaret, Piero Nicolai, Marco Maria Fontanella
No abstract text is available yet for this article.
April 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28437813/presenting-symptoms-of-pituitary-apoplexy
#16
Efstratios-Stylianos Pyrgelis, Ioannis Mavridis, Maria Meliou
The classical term "pituitary apoplexy" (PA) describes a clinical syndrome usually characterized by abrupt onset of headache accompanied by neurologic and/or endocrinologic deterioration due to sudden expansion of a mass within the sella turcica as a result of hemorrhage or infarction within a pituitary tumor and adjacent pituitary gland. PA is a medical emergency and a difficult diagnosis to establish. Thus this article reviews the presenting symptoms of PA patients to help clinicians recognize or at least suspect this critical condition early on...
April 24, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/28421421/sphenoid-sinus-mucosal-thickening-in-the-acute-phase-of-pituitary-apoplexy
#17
Mueez Waqar, Robert McCreary, Tara Kearney, Konstantina Karabatsou, Kanna K Gnanalingham
PURPOSE: In pituitary apoplexy (PA), there are preliminary reports on the appearance of sphenoid sinus mucosal thickening (SSMT). SSMT is otherwise uncommon with an incidence of up to 7% in asymptomatic individuals. The aim of this study was to evaluate the incidence and clinical significance of SSMT in patients with PA and a control group of surgically treated non-functioning pituitary adenomas (NFPAs). METHODS: Retrospective review of clinical and imaging variables in PA and NFPA patients...
April 18, 2017: Pituitary
https://www.readbyqxmd.com/read/28378955/high-altitude-exposure-as-possible-predisposing-factor-for-pituitary-adenoma-apoplexy-histologically-confirmed-case-report
#18
Matteo Vitali, Frank R Canevari, Andrea Cattalani, Vincenzo Grasso, Teresa Somma, Luigi M Cavallo, Andrea Barbanera
No abstract text is available yet for this article.
April 4, 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/28362886/concomitant-primary-cns-lymphoma-and-fsh-pituitary-adenoma-arising-within-the-sella-entirely-coincidental
#19
Vin Shen Ban, Bedansh Roy Chaudhary, Kieren Allinson, Thomas Santarius, Ramez Wadie Kirollos
BACKGROUND AND IMPORTANCE: Collision tumors are the simultaneous occurrence of more than one type of neoplasm within an anatomic space. In the pituitary sella, collision tumors are exceedingly rare, and not much is known about their etiology and prognosis. CLINICAL PRESENTATION: A 74-year-old man presented with a concomitant primary pituitary lymphoma (diffuse large B-cell non-Hodgkin's lymphoma; DLBCL) and follicle-stimulating hormone (FSH)-adenoma diagnosed histologically after clinical features of apoplexy prompted urgent surgical decompression and resection...
January 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28243973/presence-of-headache-and-headache-types-in-patients-with-tumors-of-the-sellar-region-can-surgery-solve-the-problem-results-of-a-prospective-single-center-study
#20
Sonja Siegel, Renata Weber Carneiro, Michael Buchfelder, Bernadette Kleist, Agnieszka Grzywotz, Rolf Buslei, Ulrike Bingel, Georg Brabant, Thomas Schenk, Ilonka Kreitschmann-Andermahr
PURPOSE: Headache is a common presenting feature of patients with pituitary adenomas and other tumors of the sellar region. However, at present, it still is unclear whether the headache is actually caused by the tumor. To explore whether there is a relation, we examined in detail the headache types, their relationship to the underlying pathology, and if the headache responded to neurosurgery in a prospective study design. METHODS: One hundred twelve patients with tumors of the sellar region scheduled for neurosurgery in a single center were analyzed for presence and quality of headache before surgery and at least 3 months after surgery...
February 27, 2017: Endocrine
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