Pituitary apoplexy: clinical features

Evidence-based neurology checklist on pituitary apoplexy: clinical features: Triggers Hypertension Major surgery: especially coronary artery bypass graft (CABG) Gamma knife irradiation Anticoagulant therapy Coagulopathies Estrogen therapy Dopamine agonists Withdrawal of dopamine agonists Radiation…

Triggers

  • Hypertension
  • Major surgery: especially coronary artery bypass graft (CABG)
  • Gamma knife irradiation
  • Anticoagulant therapy
  • Coagulopathies
  • Estrogen therapy
  • Dopamine agonists
  • Withdrawal of dopamine agonists
  • Radiation therapy
  • Pregnancy
  • Head injury
  • Dynamic pituitary function tests
  • Ruptured internal carotid artery aneurysm

Clinical features

Cranial nerve palsies

Differential diagnosis

References

  1. Rajasekaran S, Vanderpump M, Baldeweg S, et al. UK guidelines for the management of pituitary apoplexy. Clin Endocrinol 2011; 74:9-20.
  2. Ranabir S, Baruah MP. Pituitary apoplexy. Indian J Endocrinol Metab 2011; 15(Suppl3):S188–S196.
  3. Semple PL, Jane JA Jr, Laws ER Jr. Clinical relevance of precipitating factors in pituitary apoplexy. Neurosurgery 2007; 61:956-961.
  4. Biousse V, Newman NJ, Oyesiku NM. Precipitating factors in pituitary apoplexy. JNNP 2001; 71:542-545.
  5. Suzuki H, Muramatsu M, Murao K, Kawaguchi K, Shimizu T. Pituitary apoplexy caused by ruptured internal carotid artery aneurysm. Stroke 2001; 32:567-569.
  6. And 1 more. Subscribe to see the full list

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