Pituitary Apoplexy (PA): Delayed Diagnosis of a Rare Clinical Syndrome in a Patient With a Known Pituitary Adenoma.

Yusuf Mehkri, Emma Leone, Ramy Sharaf, Jairo Hernandez, Lorena Figueredo Rivas, Ibrahim S Tuna, Hans Shuhaiber

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Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Yusuf MehkriCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.

Emma LeoneCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.

Ramy SharafCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.

Jairo HernandezCollege of Medicine, University of Florida College of Medicine, Gainesville, USA.

Lorena Figueredo RivasNeurology, University of Florida College of Medicine, Gainesville, USA.

Ibrahim S TunaRadiology, University of Florida College of Medicine, Gainesville, USA.

Hans ShuhaiberNeurology, University of Florida College of Medicine, Gainesville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pituitary apoplexy (PA) is a rare clinical syndrome in which the pituitary gland undergoes infarction or hemorrhage, predominantly in the setting of an underlying tumor. We report on apoplexy of an expanding pituitary macroadenoma that was compressing the optic chiasm in a patient with progressively worsening neurologic deficits. Due to the patient's rapidly declining clinical status and family's goals of care, no neurosurgical intervention took place, and the patient expired a few days following discharge to hospice. This case highlights the importance of early suspicion for apoplexy in a patient with a history of pituitary adenoma and signs of neurologic deficit.

Indexed as

cranial nerve deficitendocrinologymacroadenomaneurology case reportpituitary apoplexy

Identifiers

PMID36532899

DOI10.7759/cureus.31536

PMCPMC9754063

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