垂体卒中
医学
神经外科
呕吐
神经学
梗塞
垂体
儿科
外科
内科学
垂体腺瘤
心肌梗塞
腺瘤
激素
精神科
作者
Senthil Rajasekaran,Mark Vanderpump,Stephanie E Baldeweg,Will Drake,Narenda Lakshmana Reddy,L Marian,Andrew C. Markey,Gordon T. Plant,Michael Powell,Saurabh Sinha,John Wass
标识
DOI:10.1111/j.1365-2265.2010.03913.x
摘要
Summary Classical pituitary apoplexy is a medical emergency and rapid replacement with hydrocortisone maybe life saving. It is a clinical syndrome characterized by the sudden onset of headache, vomiting, visual impairment and decreased consciousness caused by haemorrhage and/or infarction of the pituitary gland. It is associated with the sudden onset of headache accompanied or not by neurological symptoms involving the second, third, fourth and sixth cranial nerves. If diagnosed patients should be referred to a multidisciplinary team comprising, amongst others, a neurosurgeon and an endocrinologist. Apart from patients with worsening neurological symptoms in whom surgery is indicated, it is unclear currently for the majority of patients whether conservative or surgical management carries the best outcome. Post apoplexy, there needs to be careful monitoring for recurrence of tumour growth. It is suggested that further trials be carried out into the management of pituitary apoplexy to optimize treatment.
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