Pituitary Apoplexy May Be Mistaken for Temporal Arteritis

  • Bárbara Pedro Hospital Professor Doutor Fernando Fonseca, Serviço de Medicina II, Amadora, Portugal
  • Tereza Patrícia Hospital Professor Doutor Fernando Fonseca, Serviço de Medicina II, Amadora, Portugal
  • Fernando Aldomiro Hospital Professor Doutor Fernando Fonseca, Serviço de Medicina II, Amadora, Portugal

Keywords

Pituitary apoplexy, adenoma, corticosteroids

Abstract

Pituitary apoplexy is a rare endocrine emergency, characterized by a sudden increase in pituitary gland volume secondary to acute ischaemic infarction or haemorrhage of the pituitary gland, usually in the presence of a pituitary adenoma. We present the case of a 79-year-old man admitted for new-onset, bi-temporal and severe headache, associated with photophobia and vomiting, whose additional study revealed pituitary apoplexy. This case highlights the need for high clinical suspicion of this rare entity in order to reduce the associated mortality.

VIEW THE ENTIRE ARTICLE

References

  • Nawar RN, AbdelMannan D, Selman WR, Arafah BM. Pituitary tumor apoplexy: a review. J Intensive Care Med 2008;23:75–89.

  • Woo HJ, Hwang JH, Hwang SK, Park YM. Clinical outcome of cranial neuropathy in patients with pituitary apoplexy. J Korean Neurosurg Soc 2010;48:213–218.

  • Möller-Goede DL, Brändle M, Landau K, Bernays RL, Schmid C. Pituitary apoplexy: re¬evaluation of risk factors for bleeding into pituitary adenomas and impact on outcome. Eur J Endocrinol 2011;164(1):37-43.

  • Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, et al. UK guidelines for the management of pituitary apoplexy. Clin Endocrinol (Oxf) 2011;74(1):9-20.

  • Briet C, Salenave S, Chanson P. Pituitary apoplexy. Endocrinol Metab Clin North Am 2015;44(1):199–209.
  • Published: 2019-10-16

    Issue: Vol 6 Iss11 (view)

    Section: Articles

    How to cite:
    Pedro, B., Patrícia, T., & Aldomiro, F. (2019). Pituitary Apoplexy May Be Mistaken for Temporal Arteritis. European Journal of Case Reports in Internal Medicine, 6(11). https://doi.org/https://doi.org/10.12890/2019_001261