Pituitary tumor apoplexy

被引:40
作者
Johnston, Philip C. [1 ,2 ]
Hamrahian, Amir H. [2 ]
Weil, Robert J. [3 ]
Kennedy, Laurence [2 ]
机构
[1] Royal Victoria Hosp, Reg Ctr Endocrinol & Diabet, Belfast BT12 6BA, Antrim, North Ireland
[2] Cleveland Clin Fdn, Dept Endocrinol Diabet & Metab, Cleveland, OH 44195 USA
[3] Geisinger Hlth Syst, Dept Neurosurg, Danville, PA USA
关键词
Apoplexy; Cranial nerve palsy; Hypopituitarism; Pituitary adenoma; Visual fields; TRANSSPHENOIDAL RESECTION; PRECIPITATING FACTORS; INTRASELLAR PRESSURE; CUSHINGS-DISEASE; VISUAL OUTCOMES; FOLLOW-UP; MANAGEMENT; ADENOMAS; HEMORRHAGE; INFARCTION;
D O I
10.1016/j.jocn.2014.11.023
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We review the etiology, investigations, management and outcomes of pituitary tumor apoplexy. Pituitary tumor apoplexy is a clinical syndrome which typically includes the acute onset of headache and/or visual disturbance, cranial nerve palsy and partial or complete endocrine dysfunction. It is associated with either infarction or hemorrhage of a pre-existing pituitary adenoma and is associated with significant morbidity and potential fatality. Not all patients will present with classic signs and symptoms, therefore it is pertinent to appreciate the clinical spectrum in which this condition can present. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:939 / 944
页数:6
相关论文
共 105 条
[1]   Lesson of the week - Acute visual loss and pituitary apoplexy after surgery [J].
Abbott, J ;
Kirkby, GR .
BRITISH MEDICAL JOURNAL, 2004, 329 (7459) :218-219
[2]   Cerebral ischaemia in pituitary apoplexy [J].
Ahmed, Shahzada K. ;
Semple, Patrick L. .
ACTA NEUROCHIRURGICA, 2008, 150 (11) :1193-1196
[3]  
[Anonymous], 2011, IND J ENDOCRINOL MET, DOI [DOI 10.4103/2230-8210.84862, DOI 10.4103/2230-8210.84862S188-S196, 10.4103/2230-8210.84862]
[4]   Review: Hypothalamic pituitary adrenal function during critical illness: Limitations of current assessment methods [J].
Arafah, Baha M. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2006, 91 (10) :3725-3745
[5]   IMMEDIATE RECOVERY OF PITUITARY-FUNCTION AFTER TRANSSPHENOIDAL RESECTION OF PITUITARY MACROADENOMAS [J].
ARAFAH, BM ;
KAILANI, SH ;
NEKL, KE ;
GOLD, RS ;
SELMAN, WR .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1994, 79 (02) :348-354
[6]   The dominant role of increased intrasellar pressure in the pathogenesis of hypopituitarism, hyperprolactinemia, and headaches in patients with pituitary adenomas [J].
Arafah, BM ;
Prunty, D ;
Ybarra, J ;
Hlavin, ML ;
Selman, WR .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2000, 85 (05) :1789-1793
[7]   Pituitary tumor apoplexy: Pathophysiology, clinical manifestations, and management [J].
Arafah, BM ;
Ybarra, J ;
Tarr, RW ;
Madhun, ZT ;
Selman, WR .
JOURNAL OF INTENSIVE CARE MEDICINE, 1997, 12 (03) :123-134
[8]   Natural course of incidentally found nonfunctioning pituitary adenoma, with special reference to pituitary apoplexy during follow-up examination [J].
Arita, Kazunori ;
Tominaga, Atsushi ;
Sugiyama, Kazuhiko ;
Eguchi, Kuniki ;
Iida, Koji ;
Sumida, Masayuki ;
Migita, Keisuke ;
Kurisu, Kaoru .
JOURNAL OF NEUROSURGERY, 2006, 104 (06) :884-891
[9]   Acute management of pituitary apoplexy - surgery or conservative management? [J].
Ayuk, J ;
McGregor, EJ ;
Mitchell, RD ;
Gittoes, NJL .
CLINICAL ENDOCRINOLOGY, 2004, 61 (06) :747-752
[10]  
Bailey P, 1898, Philadelphia Med J, V1, P789