Abstract
M56, RH, fireman, non smoker, lives with wife and two children, no significant pmh, reports libido loss over the last 6m, presents with sudden severe h/a with associated neck pain and n/v and blurred vision, o/e drowsy but orientated and obeying commands with bitemporal hemianopia and visual acuity R 6/12 (corrected, glasses), L very poor
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Abbreviations
- ACTH:
-
Adrenocorticotropic hormone
- CTA:
-
Cerebral tomography angiogram
- CTH:
-
Computed tomography head
- FSH:
-
Follicle stimulating hormone
- GH:
-
Growth hormone
- h/a:
-
Headache
- HCP:
-
Hydrocephalus
- IGF-1:
-
Insulin like growth factor
- MRI:
-
Magnetic resonance imaging
- Na:
-
Sodium
- N/V:
-
Nausea and vomiting
- PMH:
-
Past medical history
- PRL:
-
Prolactin
- SAH:
-
Subarachnoid haemorrhage
- T4:
-
Thyroxine
- TDS:
-
Three times daily
- TSH:
-
Thyroid stimulating hormone
- VF:
-
Visual fields
Evidence
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Albani A, Ferraù F, Angileri FF, et al. Multidisciplinary management of pituitary apoplexy. Int J Endocrinol. 2016;2016:7951536. https://doi.org/10.1155/2016/7951536.
Rajasekaran S, Vanderpump B, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J. UK guidelines for the management of pituitary apoplexy Pituitary Apoplexy Guidelines Development Group: May 2010. Clin Endocrinol. 2011;74:9–20.
Turgut M, Ozsunar Y, Başak S, Güney E, Kir E, Meteoğlu I. Pituitary apoplexy: an overview of 186 cases published during the last century. Acta Neurochir (Wien). 2010;152(5):749–61.
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Tolias, C.M., Giamouriadis, A., Hogg, F.R.A., Ghimire, P. (2019). Pituitary Apoplexy. In: Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98234-2_35
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DOI: https://doi.org/10.1007/978-3-319-98234-2_35
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