Agyalapimirigy-apoplexia. Sebészi vagy konzervatív kezelés? = Pituitary apoplexy Surgical or conservative management?

Sipos, László and Szücs, Nikolette and Várallyay, Péter (2021) Agyalapimirigy-apoplexia. Sebészi vagy konzervatív kezelés? = Pituitary apoplexy Surgical or conservative management? ORVOSI HETILAP, 162 (38). pp. 1520-1525. ISSN 0030-6002

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Abstract

Pituitary apoplexy is a rare clinical syndrome secondary to haemorrhage or infarction of pituitary adenoma. The prevalence is 2-12% of pituitary adenoma patients especially in nonfunctioning tumours but may be found in medically treated adenomas as well. Its clinical picture is sudden onset of headache with visual disturbances and/or ocular palsy. Meningeal signs and altered consciousness can occur. Corticotropin deficiency if untreated can lead to adrenal insufficiency. Compared to computed tomography, magnetic resonance imaging better demonstrates the haemorrhage or even infarction of pituitary adenoma. Retrospective studies emphasize the wait-and-see management instead of the formerly considered urgent neurosurgical intervention.

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