Precipitating factors in pituitary apoplexy
Pituitary apoplexy is a rare but life threatening condition caused by sudden haemorrhage or infarction of the pituitary gland. Potential precipitating factors in the occurrence of acute pituitary apoplexy in 30 consecutive patients were identified and compared with the clinical characteristics and o...
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Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2001-10, Vol.71 (4), p.542-545 |
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description | Pituitary apoplexy is a rare but life threatening condition caused by sudden haemorrhage or infarction of the pituitary gland. Potential precipitating factors in the occurrence of acute pituitary apoplexy in 30 consecutive patients were identified and compared with the clinical characteristics and outcome of patients with and without associated factors. Six patients had a previously known pituitary adenoma. All patients complained of severe headaches, associated with neuro-ophthalmological symptoms and signs in 83% and altered mental status in 30%. Potential risk factors were identified in nine patients (30%). When there was an associated factor, the clinical presentation was no different than in patients without such factors although altered mental status may be more frequent in patients with associated diseases. In these patients, the visual prognosis was worse and the diagnosis was more difficult to establish. Acute pituitary apoplexy is unpredictable and should be considered in any patient with abrupt neuro-ophthalmological deterioration associated with headache. Patients with pituitary apoplexy often have an associated disease that confounds recognition and treatment despite a typical presentation. |
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Potential precipitating factors in the occurrence of acute pituitary apoplexy in 30 consecutive patients were identified and compared with the clinical characteristics and outcome of patients with and without associated factors. Six patients had a previously known pituitary adenoma. All patients complained of severe headaches, associated with neuro-ophthalmological symptoms and signs in 83% and altered mental status in 30%. Potential risk factors were identified in nine patients (30%). When there was an associated factor, the clinical presentation was no different than in patients without such factors although altered mental status may be more frequent in patients with associated diseases. In these patients, the visual prognosis was worse and the diagnosis was more difficult to establish. Acute pituitary apoplexy is unpredictable and should be considered in any patient with abrupt neuro-ophthalmological deterioration associated with headache. Patients with pituitary apoplexy often have an associated disease that confounds recognition and treatment despite a typical presentation.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.71.4.542</identifier><identifier>PMID: 11561045</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adenoma - diagnosis ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Causes of ; Diagnosis ; Diplopia ; Disease ; Endocrine gland diseases ; Endocrinopathies ; Female ; Headaches ; Hospitals ; Humans ; Hypothalamus. Hypophysis. Epiphysis (diseases) ; Magnetic Resonance Imaging ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Neurologic Examination ; Non tumoral diseases. Target tissue resistance. Benign neoplasms ; Ophthalmology ; pituitary apoplexy ; Pituitary Apoplexy - diagnosis ; Pituitary Apoplexy - etiology ; Pituitary gland ; Pituitary Neoplasms - diagnosis ; Prognosis ; Risk Factors ; Short Report ; Surgery ; Tumors ; Vision disorders ; visual loss ; Womens health</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2001-10, Vol.71 (4), p.542-545</ispartof><rights>Journal of Neurology, Neurosurgery, and Psychiatry</rights><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2001 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2001 Journal of Neurology, Neurosurgery, and Psychiatry</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b653t-1eb39fd535b72eece28336ab63d1188fa9579e1a899322d244d6e7f71c73de3d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1763528/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1763528/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,729,782,786,887,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14068308$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11561045$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Biousse, V</creatorcontrib><creatorcontrib>Newman, N J</creatorcontrib><creatorcontrib>Oyesiku, N M</creatorcontrib><title>Precipitating factors in pituitary apoplexy</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Pituitary apoplexy is a rare but life threatening condition caused by sudden haemorrhage or infarction of the pituitary gland. Potential precipitating factors in the occurrence of acute pituitary apoplexy in 30 consecutive patients were identified and compared with the clinical characteristics and outcome of patients with and without associated factors. Six patients had a previously known pituitary adenoma. All patients complained of severe headaches, associated with neuro-ophthalmological symptoms and signs in 83% and altered mental status in 30%. Potential risk factors were identified in nine patients (30%). When there was an associated factor, the clinical presentation was no different than in patients without such factors although altered mental status may be more frequent in patients with associated diseases. In these patients, the visual prognosis was worse and the diagnosis was more difficult to establish. Acute pituitary apoplexy is unpredictable and should be considered in any patient with abrupt neuro-ophthalmological deterioration associated with headache. Patients with pituitary apoplexy often have an associated disease that confounds recognition and treatment despite a typical presentation.</description><subject>Adenoma - diagnosis</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Causes of</subject><subject>Diagnosis</subject><subject>Diplopia</subject><subject>Disease</subject><subject>Endocrine gland diseases</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Headaches</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypothalamus. Hypophysis. Epiphysis (diseases)</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurologic Examination</subject><subject>Non tumoral diseases. Target tissue resistance. Benign neoplasms</subject><subject>Ophthalmology</subject><subject>pituitary apoplexy</subject><subject>Pituitary Apoplexy - diagnosis</subject><subject>Pituitary Apoplexy - etiology</subject><subject>Pituitary gland</subject><subject>Pituitary Neoplasms - diagnosis</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>Short Report</subject><subject>Surgery</subject><subject>Tumors</subject><subject>Vision disorders</subject><subject>visual loss</subject><subject>Womens health</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkd2L1DAUxYMo7jj66KsMiCJox6RpkvZFWAZHxVUX_MC3kKa3Y2bbpCat7P733mGGHRXR5CFw7497zs0h5D6jS8a4fL71flgqtiyWoshvkBkrZJlxTr_eJDNK8zzjVNATcielLd2dsrpNThgTktFCzMjT8wjWDW40o_ObRWvsGGJaOL_A2oTleLUwQxg6uLy6S261pktw7_DOyef1y0-r19nZh1dvVqdnWS0FHzMGNa_aRnBRqxzAQl5yLk0tecNYWbamEqoCZsqq4nne5EXRSFCtYlbxBnjD5-TFfu4w1T00FvwYTaeH6Hq0o4Nx-veOd9_0JvzQTEkuUG1OHh8GxPB9gjTq3iULXWc8hClphT44VQrBh3-A2zBFj8vhrJIJtFtSpJ7tqY3pQDvfBlS1G_CA4sFD67B8qiohVE4l4tlfcLwN9M7-g7cxpBShvd6UUb3LWO8yRtO60Jgx8g9-_Z4jfQgVgUcHwCRrujYab106cgWVuH55FHZphMvrvokXWiquhH7_ZaXV-m1xvl6_0x-Rf7Ln6377H48_AUuIyyQ</recordid><startdate>20011001</startdate><enddate>20011001</enddate><creator>Biousse, V</creator><creator>Newman, N J</creator><creator>Oyesiku, N M</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20011001</creationdate><title>Precipitating factors in pituitary apoplexy</title><author>Biousse, V ; Newman, N J ; Oyesiku, N M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b653t-1eb39fd535b72eece28336ab63d1188fa9579e1a899322d244d6e7f71c73de3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adenoma - diagnosis</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Causes of</topic><topic>Diagnosis</topic><topic>Diplopia</topic><topic>Disease</topic><topic>Endocrine gland diseases</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Headaches</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypothalamus. Hypophysis. Epiphysis (diseases)</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurologic Examination</topic><topic>Non tumoral diseases. Target tissue resistance. Benign neoplasms</topic><topic>Ophthalmology</topic><topic>pituitary apoplexy</topic><topic>Pituitary Apoplexy - diagnosis</topic><topic>Pituitary Apoplexy - etiology</topic><topic>Pituitary gland</topic><topic>Pituitary Neoplasms - diagnosis</topic><topic>Prognosis</topic><topic>Risk Factors</topic><topic>Short Report</topic><topic>Surgery</topic><topic>Tumors</topic><topic>Vision disorders</topic><topic>visual loss</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Biousse, V</creatorcontrib><creatorcontrib>Newman, N J</creatorcontrib><creatorcontrib>Oyesiku, N M</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database (ProQuest)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Biousse, V</au><au>Newman, N J</au><au>Oyesiku, N M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Precipitating factors in pituitary apoplexy</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>2001-10-01</date><risdate>2001</risdate><volume>71</volume><issue>4</issue><spage>542</spage><epage>545</epage><pages>542-545</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>Pituitary apoplexy is a rare but life threatening condition caused by sudden haemorrhage or infarction of the pituitary gland. Potential precipitating factors in the occurrence of acute pituitary apoplexy in 30 consecutive patients were identified and compared with the clinical characteristics and outcome of patients with and without associated factors. Six patients had a previously known pituitary adenoma. All patients complained of severe headaches, associated with neuro-ophthalmological symptoms and signs in 83% and altered mental status in 30%. Potential risk factors were identified in nine patients (30%). When there was an associated factor, the clinical presentation was no different than in patients without such factors although altered mental status may be more frequent in patients with associated diseases. In these patients, the visual prognosis was worse and the diagnosis was more difficult to establish. Acute pituitary apoplexy is unpredictable and should be considered in any patient with abrupt neuro-ophthalmological deterioration associated with headache. Patients with pituitary apoplexy often have an associated disease that confounds recognition and treatment despite a typical presentation.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>11561045</pmid><doi>10.1136/jnnp.71.4.542</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adenoma - diagnosis Adult Aged Aged, 80 and over Biological and medical sciences Causes of Diagnosis Diplopia Disease Endocrine gland diseases Endocrinopathies Female Headaches Hospitals Humans Hypothalamus. Hypophysis. Epiphysis (diseases) Magnetic Resonance Imaging Male Medical imaging Medical sciences Middle Aged Neurologic Examination Non tumoral diseases. Target tissue resistance. Benign neoplasms Ophthalmology pituitary apoplexy Pituitary Apoplexy - diagnosis Pituitary Apoplexy - etiology Pituitary gland Pituitary Neoplasms - diagnosis Prognosis Risk Factors Short Report Surgery Tumors Vision disorders visual loss Womens health |
title | Precipitating factors in pituitary apoplexy |
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