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Pituitary apoplexy in a child presenting with massive subarachnoid and intraventricular hemorrhage

G D Satyarthee1, A K Mahapatra

  • 1The Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|January 11, 2005
PubMed

Insights

Pituitary apoplexy in a child caused massive bleeding into the brain. Surgical decompression of a necrotic pituitary adenoma improved the patient's vision and headache.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Endocrinology

Background:

  • Pituitary apoplexy is a rare clinical syndrome.
  • It typically presents with sudden headache, visual impairment, and ophthalmoplegia.
  • Hemorrhage into a pituitary adenoma is the common cause.

Observation:

  • A pediatric case of pituitary apoplexy with extensive subarachnoid and intraventricular hemorrhage.
  • The patient experienced acute headache, decreased visual acuity, and bitemporal visual field defects.
  • Computed tomography confirmed significant intracranial hemorrhage, but angiography ruled out an aneurysm.

Findings:

  • Surgical decompression was performed to evacuate the hematoma within a necrotic pituitary adenoma.
  • Postoperative recovery showed improvement in visual deficits and headache resolution.
  • This case highlights the possibility of massive hemorrhage in pediatric pituitary apoplexy.

Implications:

  • Early surgical intervention is crucial for managing pituitary apoplexy in children.
  • Prompt diagnosis and treatment can lead to favorable neurological outcomes.
  • This case expands the understanding of pituitary apoplexy presentation and management in pediatric populations.

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