Pituitary Apoplexy

被引:43
作者
Barkhoudarian, Garni [1 ,2 ]
Kelly, Daniel F. [1 ,2 ]
机构
[1] John Wayne Canc Inst, Santa Monica, CA USA
[2] Pacific Neurosci Inst, 2125 Arizona Ave, Santa Monica, CA 90404 USA
关键词
Pituitary apoplexy; Pituitary adenomas; Hypopituitarism; Headache; Diplopia; Vision loss; CONSERVATIVE MANAGEMENT; ADENOMAS; SURGERY; GUIDELINES; EXPERIENCE; SYMPTOMS;
D O I
10.1016/j.nec.2019.06.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Pituitary apoplexy is a clinical condition with acute-onset headaches, vision loss, and/or pituitary dysfunction associated with a hemorrhagic or infarcted pituitary tumor or cyst. Treatment varies based on clinical presentation, although often urgent or emergent surgical resection is indicated. Conservative treatment strategies tend to be applied for more mild conditions of apoplexy. Overall outcomes may be similar in this less severe cohort. Acute-onset vision loss with apoplexy should be treated with urgent or emergent surgical evacuation of hematoma and resection of tumor when possible.
引用
收藏
页码:457 / +
页数:8
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