This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Pituitary apoplexy

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Pituitary apoplexy results from haemorrhage or infarction of the pituitary in 1-10% of patients with pituitary adenomas (1).

Pituitary apoplexy has very rarely been described during pregnancy, when it is potentially life-threatening to both the mother and the fetus (2).

It is characterised by:

  • severe headache of acute onset, similar to that in subarachnoid haemorrhage
  • neck stiffness may be present
  • rapidly progressive visual impairment
  • extraocular nerve palsies
  • primary pituitary insufficiency
  • stupor and then coma

Steroid cover - iv. hydrocortisone, attention to fluid balance, and early transphenoidal surgery are necessary.

Survivors require lifelong replacement therapy for the resultant hypopituitarism.

Reference:


Related pages

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.