Pituitary tumor apoplexy: a literature review
DOI:
https://doi.org/10.52076/eacad-v3i2.203Keywords:
Pituitary gland; Pituitary apoplexy; Pituitary neoplasms; Review literature.Abstract
Introduction: Pituitary apoplexy is a potentially fatal disorder due to acute ischemic infarction or hemorrhage of the pituitary gland. The main clinical features of this syndrome are headache, nausea, vomiting, visual impairment, altered mental status and even coma. Methodology: This is a systematic literature review of the quantitative type using the following Keywords: Adeno-Pituitary; Pituitary Apoplexy; Pituitary Neoplasms; Review of Reported Cases. Result: As the primary event involves the adenoma, the syndrome should be termed pituitary tumor apoplexy and not pituitary apoplexy. Although pituitary apoplexy occurs within pituitary adenomas, it can also occur in non-adenomatous or even normal pituitary, especially during pregnancy. Discussion: Although the terminology "subclinical pituitary apoplexy" is widely used to describe anatomopathological evidence of asymptomatic pituitary ischemia or hemorrhage, it is significant to note that pituitary apoplexy is a clinical syndrome and not an anatomopathological definition. Conclusion: although pituitary apoplexy is an uncommon complication of pituitary tumors, it must be recognized as a neuroendocrinological and neurosurgical emergency that requires immediate diagnosis and treatment, individualizing each individual to direct to conservative or more invasive therapies.
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Copyright (c) 2022 João Victor Carvalho Paz; Alexandre Augusto Gomes Alves; Beatriz da Cruz Alves; Lucas Frota Beckman; Danielle Cavalcante Cruz Almeida ; Rômulo Diego Marinho Siqueira; Amanda de Morais Melo; Natália Darvila Magalhães Nascimento; Dyego Mondego Moraes; Ana Luiza Leão Madeira de Assis ; Andressa Carvalho Murada de Sousa; Daniel de Brito Pontes; Camila Melo de Freitas; Carleany Almeida dos Santos; Rafaella Keila Moreira Paixão
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