How has a patient with two pituitary apoplexies been managed ?I have come across a lady with a pituitary adenoma who developed a bleed into her pituitary after diagnosis. This is called an apoplexy which was managed conservatively. She then got pregnant and following 30 weeks of gestation developed a further bleed in her pituitary. She was managed conservatively. I am looking to find out 1. Aetiopathology of Pituitary apoplexies 2. Multiple apoplexies in the same pituitary and its management 3. Pregnancy and Pituitary apoplexy management Case studies and case reports, case series anything. I am guessing Neurosurgery will have more of these cases reported. THanks, Aiyappa
Notes about answers
If you see something you feel is wrong, don’t criticise (that misses the point of Triple) courteously and supportively give a counter answer.
Answers given should be in good faith, but they should not be considered definitive, be critical.
We do not endorse or verify content posted by users.
Thanks for your response,
Thanks for your question,
- Answered 23 Jan 2020 Conflict of interest declaration: None I’m sure this is not exhaustive, but I found a few papers, with free full-text. that give an overview of pituitary apoplexy: Pituitary apoplexy. Indian J Endocrinol Metab. 2011  Pituitary apoplexy: pathophysiology, diagnosis and management. Archives of Endocrinology and Metabolism. 2015  Pituitary Apoplexy. Endocrine Reviews. 2015  Pituitary apoplexy. CMAJ. 2019  I also found this, which might be interesting: Pituitary Apoplexy: Results of Surgical and Conservative Management Clinical Series and Review of the Literature. World Neurosurg. 2019 , unfortunately it’s not full-text. I also found a couple of articles discussing pituitary apoplexy in pregnancy (a mix of full-text and abstract only): Pituitary apoplexy in pregnancy: A case series and literature review. Obstet Med. 2015  Gestational pituitary apoplexy: Case series and review of the literature. Journal of Gynecology Obstetrics and Human Reproduction. 2019  References 1) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3183518/ 2) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972015000300259&lng=en&nrm=iso&tlng=en 3) https://academic.oup.com/edrv/article/36/6/622/2354744 4) https://www.cmaj.ca/content/190/48/E1419.long 5) https://www.ncbi.nlm.nih.gov/pubmed/31302273 6) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4935046/ 7) https://www.sciencedirect.com/science/article/abs/pii/S2468784718304033