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Pituitary apoplexy associated with a triple bolus test. Case report
Journal of Neurosurgery
|September 1, 1984
Summary
Pituitary apoplexy caused by neuroendocrine testing led to carotid artery occlusion. Surgical decompression restored blood flow and resulted in a full patient recovery.
Area of Science:
- Neuroendocrinology
- Neurology
- Vascular Surgery
Background:
- Pituitary apoplexy is a rare but serious condition.
- Neuroendocrine manipulation is used for pituitary function testing.
- Internal carotid artery occlusion can lead to severe neurological deficits.
Observation:
- A patient experienced pituitary apoplexy following neuroendocrine manipulation.
- This resulted in bilateral internal carotid artery occlusion, consciousness depression, and hemiplegia.
- The apoplexy was precipitated by a preoperative pituitary function test.
Findings:
- Transsphenoidal tumor decompression was performed.
- Angiography confirmed restoration of blood flow in both carotid arteries.
- The patient demonstrated an excellent clinical recovery.
Implications:
- This case highlights a potential complication of neuroendocrine testing.
- It underscores the importance of prompt surgical intervention for pituitary apoplexy.
- Successful management can lead to significant neurological recovery.