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Sudden Headache and Blindness Due to Pituitary (Adenoma) Infarction: A Case Report
Pituitary infarction (PI) is a rare medical emergency appearing in patients with pituitary adenoma, presenting with sudden onset of severe headache, and often associated with vomiting, nausea, visual deterioration, and decreased consciousness. We describe an 83-year-old woman who presented with blin...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464289/ https://www.ncbi.nlm.nih.gov/pubmed/31016086 http://dx.doi.org/10.7759/cureus.4059 |
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author | Dupont, Graham Lachkar, Stefan Iwanaga, Joe Tubbs, R. Shane Ishak, Basem |
author_facet | Dupont, Graham Lachkar, Stefan Iwanaga, Joe Tubbs, R. Shane Ishak, Basem |
author_sort | Dupont, Graham |
collection | PubMed |
description | Pituitary infarction (PI) is a rare medical emergency appearing in patients with pituitary adenoma, presenting with sudden onset of severe headache, and often associated with vomiting, nausea, visual deterioration, and decreased consciousness. We describe an 83-year-old woman who presented with blindness after a history of severe headache. An urgent computed tomography (CT) scan of the brain had been arranged, and a massive pituitary adenoma with hemorrhage was observed, and admission to the neurosurgical department followed. A multidisciplinary team comprising a neurosurgeon, an ophthalmologist, and an endocrinologist is required to manage such cases. To confirm the diagnosis, an urgent magnetic resonance imaging (MRI) must be performed; CT scan can be indicated if MRI is contraindicated or not possible. |
format | Online Article Text |
id | pubmed-6464289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-64642892019-04-23 Sudden Headache and Blindness Due to Pituitary (Adenoma) Infarction: A Case Report Dupont, Graham Lachkar, Stefan Iwanaga, Joe Tubbs, R. Shane Ishak, Basem Cureus Emergency Medicine Pituitary infarction (PI) is a rare medical emergency appearing in patients with pituitary adenoma, presenting with sudden onset of severe headache, and often associated with vomiting, nausea, visual deterioration, and decreased consciousness. We describe an 83-year-old woman who presented with blindness after a history of severe headache. An urgent computed tomography (CT) scan of the brain had been arranged, and a massive pituitary adenoma with hemorrhage was observed, and admission to the neurosurgical department followed. A multidisciplinary team comprising a neurosurgeon, an ophthalmologist, and an endocrinologist is required to manage such cases. To confirm the diagnosis, an urgent magnetic resonance imaging (MRI) must be performed; CT scan can be indicated if MRI is contraindicated or not possible. Cureus 2019-02-13 /pmc/articles/PMC6464289/ /pubmed/31016086 http://dx.doi.org/10.7759/cureus.4059 Text en Copyright © 2019, Dupont et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Dupont, Graham Lachkar, Stefan Iwanaga, Joe Tubbs, R. Shane Ishak, Basem Sudden Headache and Blindness Due to Pituitary (Adenoma) Infarction: A Case Report |
title | Sudden Headache and Blindness Due to Pituitary (Adenoma) Infarction: A Case Report |
title_full | Sudden Headache and Blindness Due to Pituitary (Adenoma) Infarction: A Case Report |
title_fullStr | Sudden Headache and Blindness Due to Pituitary (Adenoma) Infarction: A Case Report |
title_full_unstemmed | Sudden Headache and Blindness Due to Pituitary (Adenoma) Infarction: A Case Report |
title_short | Sudden Headache and Blindness Due to Pituitary (Adenoma) Infarction: A Case Report |
title_sort | sudden headache and blindness due to pituitary (adenoma) infarction: a case report |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464289/ https://www.ncbi.nlm.nih.gov/pubmed/31016086 http://dx.doi.org/10.7759/cureus.4059 |
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