کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3827270 | 1246925 | 2013 | 4 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
OftalmoplejÃa completa unilateral sin pérdida de visión como forma de presentación de una apoplejÃa pituitaria
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پزشکی و دندانپزشکی (عمومی)
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![عکس صفحه اول مقاله: OftalmoplejÃa completa unilateral sin pérdida de visión como forma de presentación de una apoplejÃa pituitaria OftalmoplejÃa completa unilateral sin pérdida de visión como forma de presentación de una apoplejÃa pituitaria](/preview/png/3827270.png)
چکیده انگلیسی
Pituitary apoplexy (PA) is a potentially life-threatening disorder caused by acute ischemic infarction or haemorrhage of a pituitary adenoma. Although certain degree of ocular palsy is usually present, total ophthalmoplegia is an uncommon form of presentation, moreover with spared visual acuity. We report the case of a 70-year-old man who presented with retro-orbitary headache and progressive total right ophthalmoplegia with preserved visual function. MRI study revealed a pituitary mass with hyperintense T1 foci inside and postgadolinium enhancement that extended towards both cavernous sinuses. Laboratory tests showed a partial pituitary failure. Corticosteroid replacement was started before a trans-sphenoidal resection of the mass was done. Histopathology analysis was consistent with a pituitary adenoma. One week after intervention only a subtle defect for abduction of the right eye was present. PA should be considered when attending patients with ophthalmoplegia, and acute retroocular headache. A multidisciplinary approach must be rapidly done in order to solve hormonal dysfunction and preserve visual function.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Revista ClÃnica Española - Volume 213, Issue 7, October 2013, Pages e67-e70
Journal: Revista ClÃnica Española - Volume 213, Issue 7, October 2013, Pages e67-e70
نویسندگان
M. Delgado-Alvarado, J. Riancho, L. Riancho-Zarrabeitia, M.J. Sedano, J.M. Polo, J. Berciano,