Cushing's disease presenting with pituitary apoplexy

被引：6
作者：
Chan, Daniel [2 ]
Rong, Teo Cheng [2 ]
Dalan, Rinkoo [1 ]
机构：
[1] Tan Tock Seng Hosp, Dept Endocrinol, Singapore 308433, Singapore
[2] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore 117595, Singapore
来源：
JOURNAL OF CLINICAL NEUROSCIENCE | 2012年 / 19卷 / 11期
关键词：
Corticotroph adenoma; Cushing's disease; Pituitary apoplexy; TRANSSPHENOIDAL SURGERY; CONSERVATIVE MANAGEMENT; MACROADENOMA; HEMORRHAGE; ADENOMAS; EMERGENCY; PROGNOSIS; OUTCOMES; HORMONE; MR;
D O I：
10.1016/j.jocn.2011.10.017
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Pituitary tumour apoplexy is a rare but life threatening condition. Cushing's disease usually presents with clinical features of Cushing's syndrome. We report a 30-year-old male patient with Cushing's disease who presented with severe headache and right third nerve palsy. MRI of the pituitary gland revealed a pituitary adenoma with infarction suggestive of apoplexy. After a transsphenoidal surgery he developed panhypopituitarism with diabetes insipidus. We also review the relevant literature. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码：1586 / 1589
页数：4
相关论文
共 39 条
  • [1] Corticotroph cell adenoma without typical manifestations of Cushing's disease presenting with cavernous sinus syndrome following pituitary apoplexy
    Abe, T
    Sawabe, Y
    Mochizuki, Y
    Sunaga, S
    Izumiyama, H
    Matsumoto, K
    Kushima, M
    Taniyama, M
    Ban, Y
    Sano, T
    [J]. ENDOCRINE JOURNAL, 2001, 48 (04) : 503 - 507
  • [2] Repeated remissions of cushing's disease due to recurrent infarctions of an ACTH-Producing pituitary macroadenoma
    Alarifi A.
    Alzahrani A.S.
    Salam S.A.
    Ahmed M.
    Kanaan I.
    [J]. Pituitary, 2005, 8 (2) : 81 - 87
  • [3] REGRESSION OF PITUITARY MACROADENOMA AFTER PITUITARY APOPLEXY - CT AND MR STUDIES
    ARMSTRONG, MR
    DOUEK, M
    SCHELLINGER, D
    PATRONAS, NJ
    [J]. JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1991, 15 (05) : 832 - 834
  • [4] Acute management of pituitary apoplexy - surgery or conservative management?
    Ayuk, J
    McGregor, EJ
    Mitchell, RD
    Gittoes, NJL
    [J]. CLINICAL ENDOCRINOLOGY, 2004, 61 (06) : 747 - 752
  • [5] A RETROSPECTIVE ANALYSIS OF PITUITARY APOPLEXY
    BILLS, DC
    MEYER, FB
    LAWS, ER
    DAVIS, DH
    EBERSOLD, MJ
    SCHEITHAUER, BW
    ILSTRUP, DM
    ABBOUD, CF
    [J]. NEUROSURGERY, 1993, 33 (04) : 602 - 609
  • [6] PITUITARY APOPLEXY - ENDOCRINE, SURGICAL AND ONCOLOGICAL EMERGENCY - INCIDENCE, CLINICAL COURSE AND TREATMENT WITH REFERENCE TO 799 CASES OF PITUITARY-ADENOMAS
    BONICKI, W
    KASPERLIKZALUSKA, A
    KOSZEWSKI, W
    ZGLICZYNSKI, W
    WISLAWSKI, J
    [J]. ACTA NEUROCHIRURGICA, 1993, 120 (3-4) : 118 - 122
  • [7] PITUITARY APOPLEXY - A REVIEW
    CARDOSO, ER
    PETERSON, EW
    [J]. NEUROSURGERY, 1984, 14 (03) : 363 - 373
  • [8] Choudhry OJ, 2011, PITUITARY
  • [9] Classical pituitary tumour apoplexy: Clinical features, management and outcomes in a series of 24 patients
    Dubuisson, Annie S.
    Beckers, Albert
    Stevenaert, Achille
    [J]. CLINICAL NEUROLOGY AND NEUROSURGERY, 2007, 109 (01) : 63 - 70
  • [10] An unusual presentation of Nelson's syndrome with apoplexy and subarachnoid hemorrhage
    Gazioǧlu N.
    Kadioǧlu P.
    Öcal E.
    Erman H.
    Akar Z.
    Öz B.
    [J]. Pituitary, 2002, 5 (4) : 267 - 674
1234