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
Hauptverfasser: Biousse, V, Newman, N J, Oyesiku, N M
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container_title Journal of neurology, neurosurgery and psychiatry
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creator Biousse, V
Newman, N J
Oyesiku, N M
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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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&amp;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. 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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.</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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