Pituitary apoplexy as presentation of pituitary adenoma

A 55-year-old woman who attended for sudden intense headache, left palpebral ptosis associated with decreased visual acuity to predominance of the left eye; in addition, laboratory tests showed hyponatremia plus hypopituitarism. The cerebral magnetic resonance showed a pituitary adenoma with a large...

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Detalles Bibliográficos
Autores: Vargas-Rubio, Víctor Alonso, Arias-Stella Castillo, Javier
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Perú
Institución:Sociedad Peruana de Medicina Interna
Repositorio:Revista de la Sociedad Peruana de Medicina Interna
Idioma:español
OAI Identifier:oai:medicinainterna.net.pe:article/612
Acceso en línea:https://revistamedicinainterna.net/index.php/spmi/article/view/612
Access Level:acceso abierto
Palabra clave:Apoplejía hipofisaria
adenoma hipofisario
tumor hipofisario
cefalea
Pituitary apoplexy
pituitary adenoma
pituitary tumor
headache
Descripción
Sumario:A 55-year-old woman who attended for sudden intense headache, left palpebral ptosis associated with decreased visual acuity to predominance of the left eye; in addition, laboratory tests showed hyponatremia plus hypopituitarism. The cerebral magnetic resonance showed a pituitary adenoma with a large necrotic component that was later confirmed in the pathological study. It was concluded in a pituitary apoplexy as a form of presentation of a pituitary adenoma without prior diagnosis, with good evolution of visual symptoms after surgery.