医学
垂体卒中
垂体机能减退
血管痉挛
膨胀的
冲程(发动机)
苍白
梗塞
蛛网膜下腔出血
病变
介绍(产科)
脑梗塞
呕吐
放射科
外科
儿科
内科学
缺血
垂体腺瘤
心肌梗塞
腺瘤
材料科学
复合材料
工程类
机械工程
抗压强度
作者
Tiago S. F. Holanda,Isnara Mara Freitas Pimentel,Paulo Victor Ferreira Gomes Araujo,José Ítalo da Silva Damasceno Gomes,Vinícius Chagas de Morais Moreira,Tito Bastos Siqueira Soares,Lucas Alverne Freitas de Albuquerque
标识
DOI:10.25259/sni_979_2022
摘要
Background: Pituitary apoplexy (PA) is a syndromic condition described in 1950. The main symptoms are headache, visual impairment, ophthalmoplegia, and hypopituitarism. The relationship between stroke and PA is uncommon and two mechanisms are described: vascular compression and vasospasm. Case Report: A 65-old-year man presented with severe headache, vomiting, ophthalmoplegia, and somnolence. Radiological examinations showed an expansive sellar and suprasellar lesion with a heterogeneous signal, besides Diffusion-weighted imaging (DWI) restriction in the bifrontal area was present. The findings were compatible with PA and stroke. Conclusion: PA leading to cerebral infarction is a rare condition that presents high morbidity and mortality levels. There are two main mechanisms related: direct arterial compression and arterial vasospasm. The cases must be conducted as neuroendocrinological emergencies and surgical management is a key point to better the prognosis of patients.
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