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Published on: January 17, 2018
On the Origins of Pituitary Apoplexy
1Emeritus Consultant Neurologist, Department of Neurology, Hull Royal Infirmary, East Yorks, UK.
Abstract:
This paper sketches the early history of pituitary apoplexy, a disorder later fully described in 1950 by Brougham, Heusner and Adams. Haemorrhage or necrosis in an adenoma causes a characteristic sudden drowsiness, stupor or coma, headache and stiff neck, ocular palsy, and impaired acuity with visual field loss owing to optic nerve or chiasmal compression. The associated endocrinopathy and management are described.
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