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Ideggyógyászati Szemle Proceedings
Szöveg nagyítása:
Aims: To evaluate the current concepts and trends in treatment of pituitary apoplexy.
Methods: Current literature ragarding of pituitary apoplexy is analyzed. Pituitary apoplexy is a rare clinical syndrome secondary to haemorrhage or infarction. The prevalence is 2-12% of pituitary adenoma patients especially in nonfunctioning tumours but may be found in medically treated adenomas as well. It’s clinical picture is sudden onset of headache with visual disturbances and/or ocular palsy. Meningeal signs and altered consciousness can occur. Corticotropin deficiency if untreated can lead to adrenal insufficiency. Compared to computed tomography, magnetic resonance imaging better demonstrates the haemorrhage or even infarction of pituitary adenoma.
Conclusion: Retrospective studies emphasize the wait-and-see management instead of the formerly considered urgent neurosurgical intervention. The indication of intervention should be decided by a team of neurosurgeon, endocrinologist, neuro-radiologist and neuro-ophthalmologist.
AFFILIÁCIÓK
- Semmelweis University, Department of Neurosurgery and Neurointervention
- Semmelweis University, Faculty of Medicine, Department of Internal Medicine and Oncology, Budapest
A kiadvány további cikkei
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Ideggyógyászati Szemle Proceedings
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Kapcsolódó anyagok
Hypertonia és Nephrologia
Elment a Mester, de gazdag öröksége velünk marad
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Ideggyógyászati Szemle Proceedings
An unusual pituitary-hypothalamic mass lesion
A 41-year-old female patient with a history of sarcoidosis and secondary pulmonary hypertension due to pulmonary embolism presented with headaches and menstrual disturbances. Elevated PRL levels and a hypophyseal macroadenoma was found during the initial workup.
Ideggyógyászati Szemle Proceedings
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Ideggyógyászati Szemle Proceedings
Intrasellar chordoma: A difficult preoperative diagnosis
Intrasellar chordomas are extremely rare tumours. To the best of our knowledge, only 41 cases werepublished in the literature.
Ideggyógyászati Szemle Proceedings
Subclinical acromegaly: case report
Acromegaly is an endocrine disorder characterized by hypersecretion of growth hormone (GH), which leads to an overproduction of insulin-like growth factor 1 (IGF-1) generating typical morphological changes such as an increase in the size of the acral parts. Subclinical acromegaly can be considered as a non-functioning adenoma that is immunopositive for GH in surgical piece or as biochemical acromegaly without clinical stigmata.
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