Apoplexie van de hypofyse: een endocrinologisch spoedgeval

M J Noordzij, L J M de Heide, G van den Berg, E W Hoving

    OnderzoeksoutputAcademicpeer review

    2 Citaten (Scopus)

    Samenvatting

    A 32-year-old woman, a 73-year-old man and a 26-year-old pregnant woman presented with headache, vomiting, and variable presence of visual disturbances, impaired consciousness, and circulatory shock. All three had pituitary apoplexy. In the first patient lymphocytic hypophysitis was diagnosed, the second had a nonfunctional adenoma and the last patient probably also. All three patients were treated conservatively with full recovery of signs and symptoms. However pituitary insufficiency remained in all three. Pituitary apoplexy is an acute event with significant morbidity and mortality. The cause is a rapid expansion of, usually, a pre-existing, often not yet known, adenoma by massive haemorrhage or infarction. Pressure, among other things, causes hypopituitarism, meningism, compression of the chiasma opticum and visual disturbances. Although many predisposing factors have been identified, pituitary apoplexy is often an unpredictable event. Diagnosis is made by the typical clinical presentation, eye examination, MRI and by measuring pituitary hormones. Treatment is with suppletion of the deficient hormones and in selected patients by transsphenoidal decompression surgery.

    Vertaalde titel van de bijdragePituitary apoplexy: an endocrinologic emergency
    Originele taal-2Dutch
    Pagina's (van-tot)2748-51
    Aantal pagina's4
    TijdschriftNederlands Tijdschrift voor Geneeskunde
    Volume149
    Nummer van het tijdschrift49
    StatusPublished - 3-dec-2005

    Keywords

    • Adenoma
    • Adult
    • Aged
    • Emergencies
    • Female
    • Headache
    • Humans
    • Male
    • Nausea
    • Pituitary Apoplexy
    • Pituitary Hormones
    • Pituitary Neoplasms
    • Pregnancy
    • Pregnancy Complications, Cardiovascular
    • Treatment Outcome
    • Visual Acuity

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