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Pituitary Apoplexy Presenting as Isolated Bilateral Oculomotor Nerve Palsy

Cho H, Song YJ, Ryu WY

PURPOSE: To report a case of pituitary apoplexy presenting as isolated bilateral oculomotor nerve palsy. CASE SUMMARY: A 46-year-old male presented with bilateral ptosis and acute severe headaches for 6 days....
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Extensive Pituitary Apoplexy after Chemotherapy in a Patient with Metastatic Breast Cancer

Jang JH, Ko YS, Hong EK, Gwak HS

Surgery, anticoagulation therapy, pregnancy, and hormone treatments, such as bromocriptine, are well-characterized precipitating factors for pituitary apoplexy. However, whether cytotoxic chemotherapy for systemic cancer could cause pituitary apoplexy has not...
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Pituitary Apoplexy Following Mitral Valvuloplasty

Kim YH, Lee SW, Son DW, Cha SH

Pituitary apoplexy is a rare but potentially life-threatening clinical syndrome caused by the sudden enlargement of a pituitary adenoma secondary to hemorrhage or infarction. Pituitary apoplexy after cardiac surgery is...
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A Case of Rathke Cleft Cyst Apoplexy

Kim E

Rathke cleft cysts (RCCs) are benign epithelial lesions of the sellar and suprasellar region. Most RCCs remain clinically silent throughout an individual's life. Symptomatic patients with RCCs manifest headaches, endocrinopathies,...
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A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis

Park KM, Kim YM, Kim SE, Shin KJ, Ha SY, Park J, Kim SE

We encountered a case of pituitary apoplexy who presented with isolated headache and vomiting without visual disturbance or ophthalmoplegia. The cerebrospinal fluid examination was compatible with aseptic meningitis. A computed...
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Pituitary Apoplexy Mimicking Meningitis

Oh K, Kim JH, Choi JW, Kang JK, Kim SH

Pituitary apoplexy is a rare but life-threatening disorder. Clinical presentation of this condition includes severe headaches, impaired consciousness, fever, visual disturbance, and variable ocular paresis. The clinical presentation of meningeal...
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Atypical Presentation of Acute Pituitary Apoplex Following Mild Head Injury

Jang HJ, Jwa CS

Pituitary apoplexy usually presented with abrupt onset of neurological deterioration of headache, visual disturbance and decreased mental status. Post-traumatic pituitary apoplexy generally occurs in patients who have suffered from severe...
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A Rathke's Cleft Cyst Presenting with Apoplexy

Kim E

The occurrence of symptomatic pituitary hemorrhage into a Rathke's cleft cyst (RCC) is extremely rare. The author reports an interesting case of intra- and suprasellar RCC presented with features of...
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Visual Outcome after Transsphenoidal Surgery in Patients with Pituitary Apoplexy

Seuk JW, Kim CH, Yang MS, Cheong JH, Kim JM

OBJECTIVE: Pituitary apoplexy is one of the most serious life-threatening complications of pituitary adenoma. The purpose of this study is to investigate the visual outcome after early transsphenoidal surgery for...
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Radiological Apoplexy and Its Correlation with Acute Clinical Presentation, Angiogenesis and Tumor Microvascular Density in Pituitary Adenomas

Lee JS, Park YS, Kwon JT, Nam TK, Lee TJ, Kim JK

OBJECTIVE: Pituitary apoplexy is life-threatening clinical syndrome caused by the rapid enlargement of a pituitary tumor due to hemorrhage and/or infarction. The pathogenesis of pituitary apoplexy is not completely understood....
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A Case of Pituitary Apoplexy Misdiagnosed as Aseptic Meningitis

Yun YS, Kim ES, Shin JA, Kang MI, Yoon KH, Cha BY, Son HY

  • KMID: 2305768
  • Korean J Med.
  • 2011 Jan;80(1):102-107.
Pituitary apoplexy is a clinical syndrome caused by an acute ischemic or hemorrhagic vascular accident. Although pituitary apoplexy is an emergency, it is often overlooked because it is rare and...
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Clinical Outcome of Cranial Neuropathy in Patients with Pituitary Apoplexy

Woo HJ, Hwang JH, Hwang SK, Park YM

OBJECTIVE: Pituitary apoplexy (PA) is described as a clinical syndrome characterized by sudden headache, vomiting, visual impairment, and meningismus caused by rapid enlargement of a pituitary adenoma. We retrospectively analyzed...
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A case of Sheehan's syndrome with central diabetes insipidus showing hemorrhagic pituitary apoplexy

Lee SY, Lee MJ, Lee KS, Kim SH, Hong SB, Nam M, Kim YS

  • KMID: 2259144
  • Korean J Med.
  • 2010 May;78(5):630-634.
Ischemic necrosis of the pituitary gland, known as Sheehan's syndrome, can develop after massive postpartum bleeding. This condition is rarely accompanied by diabetes insipidus. An empty sella is a constant...
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Pituitary Apoplexy Presenting as Isolated Third Cranial Nerve Palsy with Ptosis : Two Case Reports

Cho WJ, Joo SP, Kim TS, Seo BR

Pituitary apoplexy is a clinical syndrome caused by an acute ischemic or hemorrhagic vascular accident involving a pituitary adenoma or an adjacent pituitary gland. Pituitary apoplexy may be associated with...
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Pituitary Apoplexy in Korea - Characteristics, Treatment Options and Outcomes

Lim JA, Kim JT, Kim MJ, Kim TH, Lee Y, Cho HY, Shin CS, Park KS, Jang HC, Cho BY, Lee HK, Kim SY

BACKGROUND: Reports on pituitary apoplexy in Korea are limited. There are two treatment options for pituitary apoplexy - surgical decompression and conservative management. In this study, we examined clinical presentation...
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Pituitary Apoplexy due to Pituitary Adenoma Infarction

Kim JP, Park BJ, Kim SB, Lim YJ

Cause of pituitary apoplexy has been known as hemorrhage, hemorrhagic infarction or infarction of pituitary adenoma or adjacent tissues of pituitary gland. However, pituitary apoplexy caused by pure infarction of...
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Pituitary Apoplexy Producing Internal Carotid Artery Compression: A Case Report

Yang SH, Lee KS, Lee KY, Lee SW, Hong YK

We report a case of pituitary apoplexy resulting in right internal carotid artery occlusion accompanied by hemiplegia and lethargy. A 43-yr-old man presented with a sudden onset of severe headache,...
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Pituitary Apoplexy: Surgical Experience with 16 Patients

Lee JH, Kim JH, Moon KS, Joo SP, Lee JK, Kim SH

  • KMID: 2189197
  • J Korean Neurosurg Soc.
  • 2007 Aug;42(2):83-88.
OBJECTIVE: Pituitary apoplexy, resulting from an acute infarction or hemorrhage mainly in pituitary adenomas, is a rare yet major clinical event with neurological, ophthalmological and hormonal emergent consequences. The authors...
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Pituitary Apoplexy Presenting as Isolated Oculomotor Nerve Palsy

Yang MS, Cho WH, Cha SH

The most common cause of isolated oculomotor nerve palsy is ischemia of the peripheral nerve caused by a disease, such as diabetes mellitus. Another common cause of isolated oculomotor nerve...
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Pituitary Apoplexy Complicated by Chemical Meningitis and Cerebral Infarction

Jeon BC, Park YS, Oh HS, Kim YS, Chun BK

A 41-yr-old man was admitted with acute headache, neck stiffness, and febrile sensation. Cerebrospinal fluid examination showed pleocytosis, an increased protein level and, a decreased glucose concentration. No organisms were...
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