Request PDF on ResearchGate | Apoplejía pituitaria. Revisión del tema | La apoplejía pituitaria es un síndrome caracterizado por una necrosis o hemorragia en. La apoplejía pituitaria es normalmente el resultado de un infarto hemorrágico que acontece a un adenoma hipofisario. La presentación clínica comprende un. Abstract. ZAMORA, Adrián; MARTINEZ, Paola and BAYONA, Hernán. Pituitary tumor apoplexy. Acta Med Colomb [online]. , vol, n.3, pp
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Textbook of Clinical Neurology.
Optochiasmatic syndrome from adhesive arachnoiditis with coesxisting hypophyseal adenoma: We report the case of a patient with a previously unknown pituitary adenoma presenting as a tumor apoplexy.
On examination, he was found to have partial left oculomotor there was pupillary sparing and trochlear nerve palsies.
The topographical anatomy of the oculomotor nerve with the peripheral location of the pituutaria fibres may explain the tendency for compressive lesions to involve the pupil and non-compressive lesions to spare it 5. Pituitary adenoma is the most common tumour of the sella turcica and suprasellar cistern. To diagnose it is basic to perform a cerebral MRI. At trans-sphenoidal surgery, there was erosion of the floor apop,ejia the pituitary fossa with tumour extension into the sphenoid sinus.
Obstet Gynecol ; Acta Med Colomb [online]. Article in pdf format Article in xml format Article references How to cite pituitaroa article Automatic translation Send this article by e-mail. A tumour confined to the sella usually presents with hormonally related symptoms. Headache is common and may be the only presenting symptom. Description of a case and review of the literature. You can change the settings or obtain more information by clicking here.
Patients may present with acute ptosis. Thrombotic and haemorrhagic complications in patients with Print Send to a friend Export reference Mendeley Statistics.
Emergency lituitaria tomography CT of the brain demonstrated no subarachnoid haemorrhage. Previous article Next article. This item has received. Spanish pdf Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail.
Apoplejía tumoral pituitaria
Subscribe to our Newsletter. Treatment consists in urgent sellar decompression by transsphenoidal surgery and substitute therapy with steroids. The MRI showed a minimally enhancing sellar mass of predominantly high signal intensity on T1WI with a central hypo-intense area.
Third nerve lesions from diabetes mellitus or hypertension typically spare pupillary function although it is not always possible to differentiate between medical and compressive causes of these lesions based entirely on clinical findings as in case two.
Lesions of the oculomotor nerve can involve the nucleus in the midbrain or nerve fascicles within the ventral midbrain, subarachnoid space, cavernous sinus, superior orbital fissure or orbit.
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Computed tomography angiography revealed a pituitary tumour with mild enhancement on delayed images. Research Alert Institute, C. Essentials of Neuroimaging 2nd ed. Clinical findings include dysfunction of the extraocular muscles innervated by the oculomotor nerve, with associated pupillary paralysis.
Si continua navegando, consideramos que acepta su uso. Initial symptoms and anamnestic time in patients with pituitary adenoma. pituitarix
West Indian Medical Journal – Pituitary apoplexy associated with ptosis
Oculomotor nerve palsy from posterior communicating artery aneurysm. The clinical presentation varies widely and includes asymptomatic cases, classical pituitary apoplexy and even sudden death. It has been reported postoperatively, in association with pregnancy, following treatment of a macroprolactinoma and related to adhesive arachnoiditis.
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