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Pituitary Apoplexy Manifesting as Massive Intracerebral Hemorrhage : Case Report

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Title: Pituitary Apoplexy Manifesting as Massive Intracerebral Hemorrhage : Case Report
Authors: Kurisu, Kota Browse this author
Kawabori, Masahito Browse this author →KAKEN DB
Niiya, Yoshimasa Browse this author
Ohta, Yuzuru Browse this author
Mabuchi, Shoji Browse this author
Houkin, Kiyohiro Browse this author →KAKEN DB
Keywords: fatal pituitary apoplexy
pituitary adenoma
intracerebral hemorrhage
emergent surgery
Issue Date: Aug-2012
Publisher: The Japan Neurosurgical Society
Journal Title: Neurologia medico-chirurgica
Volume: 52
Issue: 8
Start Page: 587
End Page: 590
Publisher DOI: 10.2176/nmc.52.587
Abstract: A 68-year-old man presented with severe conscious disturbance caused by pituitary apoplexy resulting in massive intracerebral hemorrhage (ICH). He had been periodically followed up for asymptomatic pituitary adenoma at another hospital for 8 years. Neuroimaging examination revealed pituitary apoplexy and massive ICH located in the left frontal lobe, and the ICH was directly connected to the intratumoral hemorrhage. The diagnosis was massive ICH from pituitary apoplexy. The patient underwent emergent evacuation of hematoma and removal of the pituitary adenoma via bi-frontal craniotomy. Postoperatively, he continued to exhibit deep consciousness disturbance and died 1 month after the operation. Pituitary apoplexy is usually characterized by intra-tumoral hemorrhage. The treatment strategy for asymptomatic pituitary adenoma is still controversial. This case shows that we should always consider the risk of pituitary apoplexy manifesting as ICH which may cause a fatal outcome.
Type: article
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 川堀 真人

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