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
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
[31]  
SAUL RF, 1985, J CLIN NEURO-OPHTHAL, V5, P185
[32]   Pituitary apoplexy: correlation between magnetic resonance imaging and histopathological results [J].
Semple, Patrick L. ;
Jane, John A., Jr. ;
Lopes, M. Beatriz S. ;
Laws, Edward R. .
JOURNAL OF NEUROSURGERY, 2008, 108 (05) :909-915
[33]   Pituitary apoplexy [J].
Semple, PL ;
Webb, MK ;
de Villiers, JC ;
Laws, ER .
NEUROSURGERY, 2005, 56 (01) :65-72
[34]   Cushing's disease presenting as an intracerebral hemorrhage [J].
Shah, Abhidha H. ;
Goel, Atul .
NEUROLOGY INDIA, 2008, 56 (04) :490-491
[35]  
TSUBOTA A, 1991, JPN J MED, V30, P233
[36]  
Verrees Meg, 2004, Neurosurg Focus, V16, pE6
[37]  
Weng YM, 2008, AM J EMERG MED, V26, pel
[38]   Emergency transsphenoidal surgery for hemorrhagic pituitary adenomas [J].
Zhang, Xiang ;
Fei, Zhou ;
Zhang, Wei ;
Cao, Wei-dong ;
Liu, Wei-ping ;
Zhang, Jian-ning ;
Fu, Luo-an ;
Jiang, Xiao-fan ;
Zhen, Hai-ning ;
Song, Shao-jun ;
Li, Xia .
SURGICAL ONCOLOGY-OXFORD, 2007, 16 (02) :115-120
[39]   Hemorrhagic Pituitary Macroadenoma: Characteristics, Endoscopic Endonasal Transsphenoidal Surgery, and Outcomes [J].
Zhang, Xiang ;
Zhang, Wei ;
Fu, Luo-an ;
Cheng, Jin-xiang ;
Liu, Bo-lin ;
Cao, Wei-dong ;
Fei, Zhou ;
Zhang, Jian-ning ;
Liu, Wei-ping ;
Zhen, Hai-ning .
ANNALS OF SURGICAL ONCOLOGY, 2011, 18 (01) :246-252