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pituitary apoplexy/dopamine
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Pituitary apoplexy within a macroprolactinoma.
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BACKGROUND
A 61-year-old lady was admitted to hospital with sepsis due to a urinary tract infection. Three days after admission, she suddenly started to have severe headache with visual disturbance and right third nerve palsy. Urgent magnetic resonance angiography excluded internal carotid artery
Pituitary apoplexy associated with cabergoline therapy.
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Pituitary apoplexy is a rare medical emergency which results from hemorrhage or infarction in the pituitary gland. One of the predisposing factors is treatment with dopamine agonists, especially bromocriptine. We report a 20-year-old Chinese man with prolactinoma who developed pituitary apoplexy 6
Management of pituitary apoplexy: clinical experience with 40 patients.
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BACKGROUND
Pituitary apoplexy is a rare major clinical event with neurological, neuro-ophthalmological, cardiovascular and hormonal consequences, resulting from an acute infarction of pituitary adenoma. We report our experience with a series of 40 patients presenting with pituitary
A RARE CAUSE OF PITUITARY APOPLEXY: CABERGOLINE THERAPY.
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Pituitary apoplexy (PA) is a life-threatening clinical syndrome. Dopamine receptor agonists are the drugs of choice in the treatment of prolactinomas. The use of cabergoline is reported to cause an increased risk of PA, particularly in macroprolactinomas of cystic nature. In this report, we present
Pituitary apoplexy precipitating diabetes insipidus after living donor liver transplantation.
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Pituitary apoplexy occurring after surgery is a rare but life-threatening acute clinical condition that follows extensive hemorrhagenous necrosis within a pituitary adenoma. Pituitary apoplexy has been reported to occur spontaneously in the majority of cases or in association with various inducing
Optic chiasmal herniation--an under recognized complication of dopamine agonist therapy for macroprolactinoma.
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The initial presentation of macroprolactinoma with visual field impairment, especially in males, is well recognized. Successful treatment with dopamine agonist therapy is characterized by a reduction in hyperprolactinaemia and often rapid and progressive resolution of the visual impairment. A small
Pituitary Apoplexy during Treatment of Prolactinoma with Cabergoline.
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Pituitary apoplexy is a rare clinical presentation caused by infarction of the pituitary gland or adenoma with or without hemorrhage. Although pituitary apoplexy is usually spontaneous, one of the predisposing factors is treatment with dopamine agonists, especially bromocriptine. The occurrence of
Gestational pituitary apoplexy: Case series and review of the literature.
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Pituitary apoplexy is an uncommon but potentially life-threatening emergency due to abrupt ischemic infarction or hemorrhage of the pituitary tumor. In many instances, pituitary apoplexy is the initial presentation in patients who were not previously diagnosed to have pituitary adenomas. Variety of
Pituitary Apoplexy in Long-Term Cabergoline User During Thrombocytopenia Due to Chemotherapy for Chronic Myelocytic Leukemia.
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BACKGROUND
Pituitary apoplexy (PA) is a life-threatening syndrome. The usage of a dopamine agonist, such as bromocriptine or cabergoline, is considered a predisposing factor for PA, which commonly occurs 1.5 years within commencement.
METHODS
A 64-year-old female with a >15-year history of
Pituitary apoplexy in nonfunctioning pituitary macroadenomas: a case-control study.
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OBJECTIVE
Pituitary apoplexy (PA) is an endocrinologic emergency characterized by headache, visual abnormalities, and hemodynamic instability in the context of hemorragic infarction of a pituitary adenoma. Our goal was to estimate the incidence, precipitating factors, clinical characteristics, and
Pituitary apoplexy in the magnetic resonance imaging era: clinical significance of sphenoid sinus mucosal thickening.
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OBJECTIVE
The authors report their experience with pituitary apoplexy and evaluate the clinical significance of sphenoid sinus mucosal thickening found on magnetic resonance (MR) imaging.
METHODS
The cases of 28 patients (19 males and nine females) with pituitary apoplexy were reviewed
Pituitary apoplexy: evaluation, management, and prognosis.
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OBJECTIVE
To review the current standard of care in the diagnosis and treatment of pituitary apoplexy and to determine any updated clinical management strategies.
RESULTS
Pituitary apoplexy is a rare but life-threatening medical emergency. Presenting signs and symptoms often include severe headache,
Cavernous sinus invasion might be a risk factor for apoplexy.
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The clinical features of pituitary hemorrhage vary from asymptomatic to catastrophic. We aimed to evaluate the frequency, symptoms, outcome and risk factors of clinical and subclinical pituitary apoplexy (PA) patients. In a retrospective analysis, charts of 547 pituitary adenoma patients from 2000
Diagnostic evaluation of hyperprolactinemia.
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A serum prolactin (PRL) level is obtained in response to a specific clinical presentation, including symptoms of hyperprolactinemia (such as amenorrhea and galactorrhea); serum PRL measurement may also be performed as part of an infertility evaluation. An initial level above the normal range should
Evolution of macroprolactinomas during pregnancy: a cohort study of 85 pregnancies.
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