Request PDF on ResearchGate | On Sep 1, , N. Wadhène and others published Apoplexie pituitaire. stroke in a patient with pituitary apoplexy, cervical carotid artery stenosis and hypotensionAVC massif chez un patient présentant une apoplexie pituitaire, une . AVC massif chez un patient présentant une apoplexie pituitaire, une sténose carotide et par le gadolinium indique la présence d’une apoplexie hypophysaire.
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Follow-up was satisfactory with complete recovery of visual acuity and visual field. Outline Masquer le plan. Contact Help Who are we?
Apoplexies pituitaires – EM|consulte
Endocrine function after spontaneous infarction of the human pituitary: Contact Help Who are we? Symptoms and signs ranged from isolated ocular paresis to a deep coma. Two classifications Knosp, Cottier are in current use but invasion is still hard to say except in cases of encircled cavernous internal carotid artery Figure 8. ABSTRACT The authors review the literature on intra-adenomatous pituitary apoplexy with special emphasis on pathophysiology, diagnosis and therapeutic approach.
MRI enables the assessment of an extrasellaire extension and possible adenomatous residue Figure It applies only to symptomatic cases. The absence of intrasellar mass should prompt for ectopic adenoma source adenoma of the stalk, parasella, sphenoid or pharyngeal 34, Full text available only in PDF format.
Pituitary apoplexy and its effect on vision. J Clin Endocrinol Metab ; Unusual presentation of a large pituitary tumours in relation to diving.
We present a case report and a review of the literature. Visual field loss was nearly complete at OD and temporal hemianopia was present at OS. The owners of pitujtaire website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Pituitary Apoplexy No special investigations are needed. OCT Optical Coherence Tomography is important to detect alterations in the optic nerve and is of prognostic value 30, Am J Med ; Br Med J ; If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. The indication of IPS catherization should be well evaluated, because this involves patients with a fragile vascular field risk of stroke.
Personal information regarding our website’s visitors, including their identity, is confidential. If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. Pneumatization and septations of the sphenoid sinus should be studied.
CT Scan brain is however often done on an emergency basis to rule out subarachnoid hemorrhage. Access to the PDF text If you experience reading problems with Firefox, please follow this procedure. The principal aim of surgery in the acute phase is the improvement of visual prognosis.
Neuronavigation and intraoperative imaging are then particularly useful. Gorczyca W, Hardy J.
Personal information regarding our website’s visitors, including their identity, is confidential. Hemorrhage into pituitary adenoma. Pituitary apoplexy in acromegaly during bromocriptine therapy. Access to the full text of this article requires pituiyaire subscription. The residual pituitary gland can often be seen even in cases of macroadenoma, as a hyperintensity at the upper part of the adenoma Figure 9.
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You can move this window by clicking on the headline. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Special attention would be paid to detect cavernous sinus invasion.
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Pituitary apoplexy is caused by an infarction or a hemorrhage in a pituitary adenoma manifesting in acute headaches, consciousness impairment, endocrine features, and moderate to severe visual loss, with chiasmal syndrome or oculomotor palsies.
Access to the full text of this article requires a subscription. Pituitary apoplexy is a clinical concept. A cranio-spinal MRI and a PET scan will be pituittaire to search for secondary locations which will then ensure the diagnosis of a pituitary carcinoma. Acute hemorrhage and ischemic necroses in hypophyseal tumors: