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
Histology confirmed a pituitary adenoma with extensive areas of haemorrhage and necrosis, consistent with apoplexy.
Apoplejía pituitaria. Revisión del tema | Neurocirugía (English edition)
In the early postoperative period, there was complete resolution of his ptosis. He subsequently developed palsies of left trochlear and abducens nerves, as well as inappropriate secretion of antidiuretic hormone. A year-old Caucasian male presented with a two-day history of severe headaches and a one-day history of leftsided ptosis preceded by diplopia.
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Research Alert Institute, C. This item has received. On examination, he was found to have partial left oculomotor there was pupillary sparing and trochlear nerve palsies.
Sudden complete ophthalmoplegia associated with pituitary adenoma. 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.
There was superior compression of the central optic chiasma Fig. The topographical anatomy of the oculomotor nerve with the peripheral location of the pupilomotor fibres may explain the tendency for compressive lesions to involve the pupil and non-compressive lesions to spare it 5. We report a case of pituitary apoplexy associated with cerebral infarction and discuss the relationship between the two events. CiteScore measures average citations received per document published.
Apoplejia Pituitaria by Luis Carlos Cadavid on Prezi
Pituitary apoplexy after subtotal thyroidectomy in an acromegalic patient with a large goiter. Obstet Gynecol ; The presence of mixed oculomotor palsies or bilateral ophthalmoplegia and an afferent papillary defect or chiasmal patterns of field loss help to differentiate apoplexy from aneurismal subarachnoid haemorrhage.
Oculomotor nerve palsy apopllejia posterior communicating artery aneurysm. These cases are an important reminder that pituitary tumours and other sellar masses are an additionalconsideration in the differential diagnosis of patients presenting with ptosis.
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. Neurinoma with intrasellar extension: Neurosurg Rev ; Optochiasmatic syndrome from adhesive arachnoiditis with coesxisting hypophyseal adenoma: Both patients were male, had surgically confirmed pituitary apoplexy and presented with left sided ptosis.
The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding pituifaria.
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Both tumours were demonstrable on CT. Ann Ophthalmol ; 9: A tumour confined to the sella usually presents with hormonally related symptoms. Pituitary apoplexy is a surgical emergency. There was a previous history of hypertension but not diabetes mellitus. There was no history of loss of consciousness, neck stiffness or features suggestive of seizure activity.
Ptosis as the early manifestation of pituitary tumour.
November – December Pages Central nervous system neoplasms. How to cite this article. Continuing navigation will be considered as acceptance of this use. Carrera 16 A No. SRJ is a prestige metric based on the idea that not all citations aoplejia the same.
At surgery, a haemorrhagicpituitary adenoma was found.
Tumours of the central nervous system. We report a case of pituitary apoplexy associated with cerebral infarction and discuss the relationship between the two events. South Med J ; To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. Article in pdf format Article in xml format Article references How to cite this article Automatic translation Send this article by e-mail.