RESUMO
Pituitary apoplexy constitutes a syndrome that is characterized by the ischemic infarction or hemorrhage into a pituitary tumour. Clinically the patient develops sudden headache, meningismus, visual disturbances, even blindness, and occasionally decrease in level of consciousness. To diagnose it is basic to perform a cerebral MRI. Treatment consists in urgent sellar decompression by transsphenoidal surgery and substitute therapy with steroids.
Assuntos
Apoplexia Hipofisária/fisiopatologia , Humanos , Imageamento por Ressonância Magnética , Apoplexia Hipofisária/diagnóstico , Apoplexia Hipofisária/etiologia , Apoplexia Hipofisária/terapia , Prognóstico , SíndromeRESUMO
La apoplejía pituitaria es un síndrome caracterizadopor una necrosis o hemorragia en el seno deun tumor hipofisario. Clínicamente cursa con cefalearepentina, signos de irritación meníngea, alteracionesen la agudeza visual, incluso ceguera y en ocasiones disminucióndel nivel de conciencia. Para el diagnósticoes fundamental la realización de pruebas radiológicas,siendo la de elección la resonancia magnética. El tratamientoconsiste en la descompresión quirúrgica sellartransesfenoidal urgente y terapia sustitutiva con altasdosis de corticoides (AU)
Pituitary apoplexy constitutes a syndrome that ischaracterized by the ischemic infarction or hemorrhageinto a pituitary tumour. Clinically the patient developssudden headache, meningismus, visual disturbances,even blindness, and occasionally decrease in level ofconsciousness. To diagnose it is basic to perform a cerebralMRI. Treatment consists in urgent sellar decompressionby transsphenoidal surgery and substitutetherapy with steroids (AU)
