A Case of Pituitary Apoplexy Misdiagnosed as Aseptic Meningitis / 대한내과학회지
Korean Journal of Medicine
;
: 102-107, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-30875
ABSTRACT
Pituitary apoplexy is a clinical syndrome caused by an acute ischemic or hemorrhagic vascular accident. Although pituitary apoplexy is an emergency, it is often overlooked because it is rare and presents with various signs and symptoms, including those of neurologic and endocrine disorders. We describe a case of pituitary apoplexy misdiagnosed as aseptic meningitis accompanied by acute-onset headache and nausea, followed by fever. Subsequently, it was revealed as pituitary apoplexy by brain magnetic resonance imaging (MRI) performed when the clinical course worsened and ophthalmoplegia developed. We suggest that pituitary apoplexy be included in the differential diagnosis of patients presenting with headache or signs of meningeal irritation; when there is no clinical improvement, prompt steroid treatment should be started, while considering neurological decompression to prevent neurological sequelae.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Apoplexia Hipofisária
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Oftalmoplegia
/
Descompressão
/
Diagnóstico Diferencial
/
Emergências
/
Febre
/
Cefaleia
/
Hipopituitarismo
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2011
Tipo de documento:
Artigo
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