Korean J Clin Neurophysiol.  2013 Jun;15(1):24-26. 10.14253/kjcn.2013.15.1.24.

A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis

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

• KMID: 2225197
• DOI: http://doi.org/10.14253/kjcn.2013.15.1.24

Abstract

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 tomography revealed slightly high density in the pituitary fossa and suprasella area, but the signal change was very faint. Our case suggests that clinicians should take into account the possibility of pituitary apoplexy without visual disturbance or ophthalmoplegia, when aseptic meningitis is suspected.

Keyword

Pituitary apoplexy; Meningitis; Headache

MeSH Terms

Headache
Meningitis
Meningitis, Aseptic
Ophthalmoplegia
Pituitary Apoplexy
Vomiting

Figure

• 

  Figure 1. Brain computed tomography (CT) of pituitary apoplexy. CT reveals slightly high density in the pituitary fossa and suprasella area (arrow).

• 

  Figure 2. The T1-weighted brain magnetic resonance imaging (MRI) of pituitary apoplexy. MRI shows acute and subacute hemorrhage within the pituitary gland compatible with pituitary apoplexy (arrow).

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