Pituitary apoplexy

Case contributed by Bruno Di Muzio , 5 Oct 2016
Diagnosis certain
Changed by Bruno Di Muzio, 1 Nov 2016

Updates to Case Attributes

Status changed from draft to published (public).
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Features of a necrotic/haemorrhagic pituitary macroadenoma with impingement upon the optic chiasm, and cavernous sinus content, particularly on the left. 

Pituitary apoplexy represents a clinical syndrome related to an acute hemorrhagic or ischemic transformation of a pituitary macroadenoma or even the normal adenohypophysis. Clinically it is characterised by a headache, visual impairment, and ophthalmoplegia.

Bleeding in the pituitary gland is clinically silent in most cases 1.

Histology images and report were courtesy of the Royal Melbourne Hospital Pathology Department. 

  • -<p>Features of a necrotic/haemorrhagic <a title="Pituitary macroadenoma" href="/articles/pituitary-macroadenoma-1">pituitary macroadenoma</a> with impingement upon the optic chiasm, and cavernous sinus content, particularly on the left. </p><p><a title="Pituitary apoplexy" href="/articles/pituitary-apoplexy">Pituitary apoplexy</a> represents a clinical syndrome related to an acute hemorrhagic or ischemic transformation of a pituitary macroadenoma or even the normal adenohypophysis. Clinically it is characterised by a headache, visual impairment, and ophthalmoplegia.</p><p>Bleeding in the pituitary gland is clinically silent in most cases <sup>1</sup>.</p>
  • +<p>Features of a necrotic/haemorrhagic <a href="/articles/pituitary-macroadenoma-1">pituitary macroadenoma</a> with impingement upon the optic chiasm, and cavernous sinus content, particularly on the left. </p><p><a href="/articles/pituitary-apoplexy">Pituitary apoplexy</a> represents a clinical syndrome related to an acute hemorrhagic or ischemic transformation of a pituitary macroadenoma or even the normal adenohypophysis. Clinically it is characterised by a headache, visual impairment, and ophthalmoplegia.</p><p>Bleeding in the pituitary gland is clinically silent in most cases <sup>1</sup>.</p><p>Histology images and report were courtesy of the Royal Melbourne Hospital Pathology Department. </p>

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