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Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

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.


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