Request PDF on ResearchGate | On Sep 1, , N. Wadhène and others published Apoplexie pituitaire. stroke in a patient with pituitary apoplexy, cervical carotid artery stenosis and hypotensionAVC massif chez un patient présentant une apoplexie pituitaire, une . AVC massif chez un patient présentant une apoplexie pituitaire, une sténose carotide et par le gadolinium indique la présence d’une apoplexie hypophysaire.
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You can apo;lexie this window by clicking on the headline. MRI is the reference imaging for the pituitary and should have the following sequences: Visual field loss was nearly complete at OD and temporal hemianopia was present at OS.
Other spoplexie or suprasellar tumors can mimic an adenoma. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data.
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Contact Help Who are we? They present five cases, from a series of 86 patients with pituitary tumors, that developed this syndrome. Symptoms and signs ranged from isolated ocular paresis to a deep coma. Rare vascular etiologies must be kept in mind because of the consequences surgery.
Services on Demand Pktuitaire. Pituitary apoplexy in acromegaly during bromocriptine therapy. Top of the page – Article Outline. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
An evaluation of the tumor consistency is also of importance for the surgeon ; a firm tumor will be much more difficult to excise than a friable tumor. Journal page Archives Sommaire.
Pituiitaire management of pituitary apoplexy: If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: Mohr G, Hardy J. In conclusion, even without a known history of pituitary adenoma or an abrupt onset of the clinical symptoms, the diagnosis of pituitary apoplexy should be considered in a patient with a suprasellar mass hyperintensity in T1-weighted MR images, which may mimic craniopharyngioma.
Full text available only in PDF format. Access to the text HTML. Conclusions point to the diagnostic difficulties and the urgency of treatment in this clincal setting. As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that lawaccess art 34 of that law and rectify art 36 of that law your personal data. Pituitary apoplexy, Visual field, Visual loss, Ocular motor nerve palsies.
Access to the PDF text If you experience reading problems with Firefox, please follow this procedure. Pituitary Apoplexy No special investigations are needed.
PITUITARY ADENOMAS – Encyclopædia Neurochirurgica
Personal information regarding our website’s visitors, including their identity, is confidential. A cranio-spinal MRI and a PET scan will be requested to search for secondary locations which will then ensure the diagnosis of a pituitary carcinoma. MRI will show more or less infarcted tumor hypointense on T1, hyperintense on T2 and haemorrhagic T1 and T2 initially hyperintense.
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Check for septal deviation, nasal spine, mega conchae or concha Bullosa pneumatization of the middle turbinate which must be carefully studied to predict the surgical approach by a CT of facial bones although an MRI may be sufficient. Twenty patients underwent surgery; 18 of them by a transsphenoidal approach.
These ocular complications led to a neurosurgical transsphenoidal resection of the necrotic adenoma. It is generally a complication of a pituitary adenoma which is in most cases unknown.
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An Ophthalmological Assessment should be done once the adenoma exceeds the sella with suprasellar extension in contact with chiasm. Leclerc F, Grisoli F. The densely granulated somatotropic adenomas respond more favorably to medical treatment. The indication of IPS catherization should be well evaluated, because this involves patients with a fragile vascular field risk of stroke. Differential Diagnosis Sometimes a false diagnosis of pituitary adenoma is made on a patient a situation which one has to redress.