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Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy

Pituitary apoplexy is a rare condition which may cause death of the patient in severe cases and many times leads to hypopituitarism. We report a case of apoplexy in a large prolactinoma resulting in empty sella syndrome followed by a successful pregnancy. Our patient is a 32-year-old female with a h...

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Autores principales: Al-Sharafi, Butheinah A., Nassar, Omar H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806158/
https://www.ncbi.nlm.nih.gov/pubmed/24194992
http://dx.doi.org/10.1155/2013/817603
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author Al-Sharafi, Butheinah A.
Nassar, Omar H.
author_facet Al-Sharafi, Butheinah A.
Nassar, Omar H.
author_sort Al-Sharafi, Butheinah A.
collection PubMed
description Pituitary apoplexy is a rare condition which may cause death of the patient in severe cases and many times leads to hypopituitarism. We report a case of apoplexy in a large prolactinoma resulting in empty sella syndrome followed by a successful pregnancy. Our patient is a 32-year-old female with a history of a macroprolactinoma for approximately 17 years who presented to our hospital with a history of severe headache, decreased level of consciousness, fever, nausea, vomiting, and diplopia of 12 hours duration. Magnetic resonance imaging done on admission showed an increase in the size of the pituitary adenoma with a subtle hemorrhage. The patient was admitted to the intensive care unit and treated conservatively. The condition of the patient improved within a few days. A few months later, she started having regular menstrual periods. A magnetic resonance imaging of the pituitary 1.5 years later was reported as empty sella syndrome, and approximately one year later she became pregnant. With the pituitary adenoma being resolved after developing pituitary apoplexy and continuing on cabergoline, the patient had a successful pregnancy with no recurrence of the adenoma after delivery and breastfeeding.
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spelling pubmed-38061582013-11-05 Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy Al-Sharafi, Butheinah A. Nassar, Omar H. Case Rep Obstet Gynecol Case Report Pituitary apoplexy is a rare condition which may cause death of the patient in severe cases and many times leads to hypopituitarism. We report a case of apoplexy in a large prolactinoma resulting in empty sella syndrome followed by a successful pregnancy. Our patient is a 32-year-old female with a history of a macroprolactinoma for approximately 17 years who presented to our hospital with a history of severe headache, decreased level of consciousness, fever, nausea, vomiting, and diplopia of 12 hours duration. Magnetic resonance imaging done on admission showed an increase in the size of the pituitary adenoma with a subtle hemorrhage. The patient was admitted to the intensive care unit and treated conservatively. The condition of the patient improved within a few days. A few months later, she started having regular menstrual periods. A magnetic resonance imaging of the pituitary 1.5 years later was reported as empty sella syndrome, and approximately one year later she became pregnant. With the pituitary adenoma being resolved after developing pituitary apoplexy and continuing on cabergoline, the patient had a successful pregnancy with no recurrence of the adenoma after delivery and breastfeeding. Hindawi Publishing Corporation 2013 2013-09-30 /pmc/articles/PMC3806158/ /pubmed/24194992 http://dx.doi.org/10.1155/2013/817603 Text en Copyright © 2013 B. A. Al-Sharafi and O. H. Nassar. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Al-Sharafi, Butheinah A.
Nassar, Omar H.
Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy
title Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy
title_full Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy
title_fullStr Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy
title_full_unstemmed Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy
title_short Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy
title_sort successful pregnancy in a female with a large prolactinoma after pituitary tumor apoplexy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806158/
https://www.ncbi.nlm.nih.gov/pubmed/24194992
http://dx.doi.org/10.1155/2013/817603
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