Pituitary Apoplexy After Joint Arthroplasty
Abstract Pituitary apoplexy is a rare but potentially life-threatening condition caused by the sudden enlargement of a pituitary adenoma secondary to infarction and hemorrhage. The clinical syndrome is characterized by sudden onset of headache, ocular palsies, visual disturbances, and altered state...
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| Veröffentlicht in: | The Journal of arthroplasty 2009-08, Vol.24 (5), p.826.e7-826.e10 |
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| container_issue | 5 |
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| container_title | The Journal of arthroplasty |
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| creator | Goel, Vivek, MRCS, MS (Orth) Debnath, Ujjwal K., FRCS, MS (Orth) Singh, Jagmohan, FRCS Brydon, Howard L., FRCS |
| description | Abstract Pituitary apoplexy is a rare but potentially life-threatening condition caused by the sudden enlargement of a pituitary adenoma secondary to infarction and hemorrhage. The clinical syndrome is characterized by sudden onset of headache, ocular palsies, visual disturbances, and altered state of consciousness. We report 2 patients who had postoperative pituitary apoplexy after total hip and total knee arthroplasty. Asymptomatic pituitary adenomas are difficult to diagnose preoperatively. Its existence is an unlikely suspect until the clinical symptoms develop after surgery. This is the first reported case following total hip athroplasty. |
| doi_str_mv | 10.1016/j.arth.2008.06.021 |
| format | Article |
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The clinical syndrome is characterized by sudden onset of headache, ocular palsies, visual disturbances, and altered state of consciousness. We report 2 patients who had postoperative pituitary apoplexy after total hip and total knee arthroplasty. Asymptomatic pituitary adenomas are difficult to diagnose preoperatively. Its existence is an unlikely suspect until the clinical symptoms develop after surgery. This is the first reported case following total hip athroplasty.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2008.06.021</identifier><identifier>PMID: 18947970</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Arthroplasty, Replacement ; Humans ; joint arthroplasty ; Male ; Middle Aged ; Orthopedics ; Osteoarthritis - surgery ; pituitary apoplexy ; Pituitary Apoplexy - diagnosis ; Pituitary Apoplexy - etiology ; Pituitary Apoplexy - surgery ; Pituitary Neoplasms - complications ; Pituitary Neoplasms - diagnosis ; Pituitary Neoplasms - surgery ; Postoperative Complications ; total knee arthroplasty</subject><ispartof>The Journal of arthroplasty, 2009-08, Vol.24 (5), p.826.e7-826.e10</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-f908871573e0676da74aba0aee716990cc5b5777f078f19a75a25abd3c3515d3</citedby><cites>FETCH-LOGICAL-c355t-f908871573e0676da74aba0aee716990cc5b5777f078f19a75a25abd3c3515d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2008.06.021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18947970$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goel, Vivek, MRCS, MS (Orth)</creatorcontrib><creatorcontrib>Debnath, Ujjwal K., FRCS, MS (Orth)</creatorcontrib><creatorcontrib>Singh, Jagmohan, FRCS</creatorcontrib><creatorcontrib>Brydon, Howard L., FRCS</creatorcontrib><title>Pituitary Apoplexy After Joint Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Pituitary apoplexy is a rare but potentially life-threatening condition caused by the sudden enlargement of a pituitary adenoma secondary to infarction and hemorrhage. The clinical syndrome is characterized by sudden onset of headache, ocular palsies, visual disturbances, and altered state of consciousness. We report 2 patients who had postoperative pituitary apoplexy after total hip and total knee arthroplasty. Asymptomatic pituitary adenomas are difficult to diagnose preoperatively. Its existence is an unlikely suspect until the clinical symptoms develop after surgery. This is the first reported case following total hip athroplasty.</description><subject>Aged</subject><subject>Arthroplasty, Replacement</subject><subject>Humans</subject><subject>joint arthroplasty</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis - surgery</subject><subject>pituitary apoplexy</subject><subject>Pituitary Apoplexy - diagnosis</subject><subject>Pituitary Apoplexy - etiology</subject><subject>Pituitary Apoplexy - surgery</subject><subject>Pituitary Neoplasms - complications</subject><subject>Pituitary Neoplasms - diagnosis</subject><subject>Pituitary Neoplasms - surgery</subject><subject>Postoperative Complications</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVtrGzEQhUVoSJzLH-hD8VNfym5G0uqyUAomNDcMCdTvQtbOUrnrXVfShvjfV4sNhTy0TzMM55xhviHkI4WSApU3m9KG9LNkALoEWQKjJ2RGBWeFrkB-IDPQmheiAn5OLmLcAFAqRHVGzqmuK1UrmJEvLz6NPtmwny92w67Dt9y0CcP8afB9mi_yhpDnNqb9FTltbRfx-lgvyeru--r2oVg-3z_eLpaF40Kkoq3zXkWF4ghSycaqyq4tWERFZV2Dc2ItlFItKN3S2iphmbDrhmc7FQ2_JJ8Psbsw_B4xJrP10WHX2R6HMRqpBMuHwX-FDDTTsqqykB2ELgwxBmzNLvhtvtlQMBNKszETSjOhNCBNRplNn47p43qLzV_LkV0WfD0IMLN49RhMdB57h40P6JJpBv_v_G_v7K7zvXe2-4V7jJthDH2mbKiJzID5MT1z-iVoAMGV5n8ApCCYYw</recordid><startdate>200908</startdate><enddate>200908</enddate><creator>Goel, Vivek, MRCS, MS (Orth)</creator><creator>Debnath, Ujjwal K., FRCS, MS (Orth)</creator><creator>Singh, Jagmohan, FRCS</creator><creator>Brydon, Howard L., FRCS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200908</creationdate><title>Pituitary Apoplexy After Joint Arthroplasty</title><author>Goel, Vivek, MRCS, MS (Orth) ; Debnath, Ujjwal K., FRCS, MS (Orth) ; Singh, Jagmohan, FRCS ; Brydon, Howard L., FRCS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-f908871573e0676da74aba0aee716990cc5b5777f078f19a75a25abd3c3515d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement</topic><topic>Humans</topic><topic>joint arthroplasty</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis - surgery</topic><topic>pituitary apoplexy</topic><topic>Pituitary Apoplexy - diagnosis</topic><topic>Pituitary Apoplexy - etiology</topic><topic>Pituitary Apoplexy - surgery</topic><topic>Pituitary Neoplasms - complications</topic><topic>Pituitary Neoplasms - diagnosis</topic><topic>Pituitary Neoplasms - surgery</topic><topic>Postoperative Complications</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goel, Vivek, MRCS, MS (Orth)</creatorcontrib><creatorcontrib>Debnath, Ujjwal K., FRCS, MS (Orth)</creatorcontrib><creatorcontrib>Singh, Jagmohan, FRCS</creatorcontrib><creatorcontrib>Brydon, Howard L., FRCS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goel, Vivek, MRCS, MS (Orth)</au><au>Debnath, Ujjwal K., FRCS, MS (Orth)</au><au>Singh, Jagmohan, FRCS</au><au>Brydon, Howard L., FRCS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pituitary Apoplexy After Joint Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2009-08</date><risdate>2009</risdate><volume>24</volume><issue>5</issue><spage>826.e7</spage><epage>826.e10</epage><pages>826.e7-826.e10</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Pituitary apoplexy is a rare but potentially life-threatening condition caused by the sudden enlargement of a pituitary adenoma secondary to infarction and hemorrhage. The clinical syndrome is characterized by sudden onset of headache, ocular palsies, visual disturbances, and altered state of consciousness. We report 2 patients who had postoperative pituitary apoplexy after total hip and total knee arthroplasty. Asymptomatic pituitary adenomas are difficult to diagnose preoperatively. Its existence is an unlikely suspect until the clinical symptoms develop after surgery. This is the first reported case following total hip athroplasty.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>18947970</pmid><doi>10.1016/j.arth.2008.06.021</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2009-08, Vol.24 (5), p.826.e7-826.e10 |
| issn | 0883-5403 1532-8406 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Aged Arthroplasty, Replacement Humans joint arthroplasty Male Middle Aged Orthopedics Osteoarthritis - surgery pituitary apoplexy Pituitary Apoplexy - diagnosis Pituitary Apoplexy - etiology Pituitary Apoplexy - surgery Pituitary Neoplasms - complications Pituitary Neoplasms - diagnosis Pituitary Neoplasms - surgery Postoperative Complications total knee arthroplasty |
| title | Pituitary Apoplexy After Joint Arthroplasty |
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