Résumé
We report a case of apoplexy of an undiagnosed, non-secretory, pituitary adenoma in a hypertensive Omani male who presented with classic identifiable precipitating factor apart from sudden elevation of blood pressure. As symptoms were progressive, surgery was carried out to arrest further deteioration. He made a full recovery although he developed partial anterior hypopituitarism and diabetes inspidus, for which he is on replacement therapy
Sujets)
Humains , Mâle , Accident vasculaire cérébral/anatomopathologie , Hypophyse/anatomopathologie , Tests de la fonction hypophysaireRésumé
A case of middle aged Omani female who presented with chronic refractory hypertension and recently observed spontaneous hypokalemia, thus raising the suspicion of primary aldosteronism, is presented. She underwent endocrine testing and CT scanning which demonstrated a right adrenal aldosterone secreting adenoma. She improved remarkly after adrenalectomy and required only a small dose of lisinopril to control the blood pressure. Establishing the diagnosis of primary aldosteronism is important because hypertension and metabolic disturbances are potentially curable
Sujets)
Humains , Femelle , Hyperaldostéronisme/diagnostic , Hypertension artérielle/étiologie , ÉchocardiographieRésumé
A case of myxoedema coma associated with severe hyponatremia is presented. For a successful outcome, prompt therapy in a critical care setting is recommended