Request PDF on ResearchGate | On Sep 1, , N. Wadhène and others published Apoplexie pituitaire. stroke in a patient with pituitary apoplexy, cervical carotid artery stenosis and hypotensionAVC massif chez un patient présentant une apoplexie pituitaire, une . AVC massif chez un patient présentant une apoplexie pituitaire, une sténose carotide et par le gadolinium indique la présence d’une apoplexie hypophysaire.

Author: Modal Vugor
Country: Sweden
Language: English (Spanish)
Genre: Literature
Published (Last): 25 December 2018
Pages: 362
PDF File Size: 1.57 Mb
ePub File Size: 9.21 Mb
ISBN: 699-2-66088-444-4
Downloads: 18287
Price: Free* [*Free Regsitration Required]
Uploader: Akigami

Spontaneous infarction in pituitary tumors: Journal page Archives Sommaire. MRI is the reference imaging for the pituitary and should have the following sequences: Pituitary apoplexy in acromegaly during bromocriptine therapy.

Access to the full text of this article requires a subscription. Special attention would be paid to detect cavernous sinus invasion. Conclusions point to the diagnostic difficulties pituitair the urgency of treatment in this clincal setting.

Br Med J ; Outline Masquer le plan. An evaluation of the tumor consistency is also of importance for the surgeon ; a firm tumor will be much more difficult to excise than a friable tumor. CT Scan brain is however often done on an emergency basis to rule out subarachnoid hemorrhage. OCT Optical Coherence Tomography is important to detect alterations in the optic nerve and is of prognostic value 30, There was no case of complete pituitqire recovery among the blind patients.


Journal apopleexie Archives Contents list. Seventeen patients experienced a decrease in their visual acuity. A functional and vital risk is present because of acute hypopituitarism. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.

On Diffusion weighted images low signal would support a firm tumor 4 although this remains debatable Endocrine function after spontaneous infarction of the human pituitary: J Clin Endocrinol Metab ; Personal information regarding our website’s visitors, including their identity, is confidential.

Pituitary Apoplexy No special investigations are needed. Hemorrhage into pituitary adenoma during anticoagulant therapy. Previous Article Dysplasie fibreuse polyostotique du rachis dorsal.

There was a problem providing the content you requested

Emergency cerebral tomodensitometry found a pituitary apoplexy. Services on Demand Journal. Betermiez aA. It is generally a complication of a pituitary adenoma which is in most cases unknown. MRI will show more or less infarcted tumor hypointense on T1, hyperintense on T2 and haemorrhagic T1 and T2 initially hyperintense. Nasal Anatomy Figure 6 a, b, c: A cranio-spinal MRI and a PET scan will be requested to search for secondary locations which will then ensure the diagnosis of a pituitary carcinoma.

If you are a subscriber, please sign in ‘My Account’ at the top right of the screen. The clinical picture of pituitary apoplexy is characterized by the sudden onset of oculomotor palsy or blindness with acute headaches and even consciousness impairment.


PITUITARY ADENOMAS – Encyclopædia Neurochirurgica

Bremond-Gignac aS. Contact Help Who are we? Access to the full text of this article requires a subscription. Bertout aP. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, apopleexie be used or stored, be corrected, clarified, updated or deleted.

Acute degenerative changes in adenomas of the pituitary body with special reference to pituitary apoplexy.

Pituitary apoplexy is caused by an infarction or a hemorrhage in a pituitary adenoma manifesting in acute headaches, consciousness impairment, endocrine features, and moderate to severe visual loss, with chiasmal syndrome or oculomotor palsies. Hemorrhage into pituitary adenoma.

Check for septal deviation, nasal spine, mega conchae or concha Bullosa pneumatization of the middle turbinate which must be carefully studied to predict the surgical approach by a CT of facial bones although an MRI may be sufficient. They present five cases, apoolexie a series of 86 patients with pituitary tumors, that developed aplplexie syndrome. This emergency diagnosis is confirmed by tomodensitometry or magnetic resonance imaging.

Access to the text HTML. Pituitary apoplexy is a clinical concept. Pituitary apoplexy with rectraction nistagnus.