Pituitary apoplexy is caused by an infarction or a hemorrhage in a pituitary adenoma. It is a very serious but rare accident. We present the case of a 28-year-old patient with no specific history who had experienced severe acute headache and a sudden decrease in visual acuity. Clinical examination showed a VA with negative light perception on the right and 1/10 on the left , bilateral aréflective mydriasis ODG, ocular motility preserved bilaterally, with normal FO in both eyes. An emergency CT scan of the brain reveals a giant intra-sellar pituitary adenoma and a hemorrhagic area in it’s center evoking a picture of pituitary apoplexy.
R. M. McFadzean, D. Doyle, R. Rampling, E. Teasdale, G. Teasdale, “Pituitary apoplexy and its effect on vision”, Neurosurgery, vol. 29(5), pp. 669–675, 1991.
E. R. Cardoso, E. W. Peterson, “Pituitary apoplexy: a review”, Neurosurgery, vol. 14(3), pp. 363–373, 1984.
C. A. Rolih, K. P. Ober, “Pituitary apoplexy”, Endocrinol Metab Clin North Am, vol. 22(2), pp. 291–302, 1993.
B. B. Bruce, V. Biousse, N. J. Newman, “Third nerve palsies”, Semin Neurol, vol. 27(3), pp. 257–268, 2007.
S. Milazzo, P. Toussaint, F. Proust, G. Touzet, D. Malthieu, “Ophthalmologic aspects of pituitary apoplexy”, Eur J Ophthalmol, vol. 6(1), pp. 69–73, 1996.
B. Fraioli, V. Esposito, L. Palma, G. Cantore, “Hemorrhagic Pituitary Adenomas: Clinicopathological Features and Surgical Treatment”, Neurosurgery, vol. 27(5), pp. 741–748, 1990.
S. Wakai, T. Fukushima, A. Teramoto, K. Sano, “Pituitary apoplexy: its incidence and clinical significance”, J Neurosurg, vol. 55(2), pp. 187–193, 1981.
R. P. Glick, J. A. Tiesi, “Subacute pituitary apoplexy: clinical and magnetic resonance imaging characteristics”, Neurosurgery, vol. 27(2), pp. 214–218, discussion 218-219, 1990.
D. C. Bills, F. B. Meyer, E. R. Laws, D. H. Davis, M. J. Ebersold, B. W. Scheithauer, et al. “A retrospective analysis of pituitary apoplexy”, Neurosurgery, vol. 33(4), pp. 602–608; discussion 608-609, 1993.
L. Sibal, S. G. Ball, V. Connolly, R. A. James, P. Kane, W. F. Kelly, et al. “Pituitary apoplexy: a review of clinical presentation, management and outcome in 45 cases”, Pituitary, vol. 7(3), pp. 157–163, 2004.
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