Pituitary Apoplexy

被引：75

作者：

Briet, Claire ^{[1
,2
]}

Salenave, Sylvie ^{[1
]}

Chanson, Philippe ^{[1
,2
,3
]}

机构：

[1] Hop Bicetre, AP HP, Dept Endocrinol & Reprod Dis, F-94725 Le Kremlin Bicetre, France

[2] Univ Paris 11, Sch Med, F-91405 Orsay, France

[3] Inst Natl Sante & Rech Med, Unit 693, F-94726 Le Kremlin Bicetre, France

来源：

ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA | 2015年 / 44卷 / 01期

关键词：

Pituitary apoplexy; Emergency; Neurosurgery; Magnetic resonance imaging; Hemorrhage; Necrosis; Pituitary adenoma; Corticotropic deficiency; TUMOR APOPLEXY; CONSERVATIVE MANAGEMENT; PRECIPITATING FACTORS; CLINICAL-FEATURES; ADENOMAS; OUTCOMES; SURGERY; MRI; UK;

D O I：

10.1016/j.ecl.2014.10.016

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pituitary apoplexy (PA) is a rare clinical syndrome caused by sudden hemorrhaging and/or infarction of the pituitary gland, generally within a pituitary adenoma. The main symptom is sudden-onset severe headache, associated with visual disorders or ocular palsy. Corticotropic deficiency may be life-threatening if left untreated. Computed tomography (CT) or MRI confirms the diagnosis by revealing a pituitary tumor with hemorrhagic and/ or necrotic components. PA used to be considered a neurosurgical emergency but a conservative approach is increasingly used in selected patients, as it yields similar outcomes. Glucocorticoid treatment must always be started immediately after onset.

引用

页码：199 / +

页数：13

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