Last reviewed 01/2018

Seek specialist advice.

Without treatment, pituitary apoplexy is fatal within hours.

Initial medical treatment aims to stabilise the patient for neurosurgery:

  • dexamethasone 6 mg i.v. 6-hourly
  • circulatory and respiratory support

Surgical management involves transnasal decompression of the sella.

Survivors require life-long hormone replacement therapy because of the loss of pituitary function.