کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3827270 1246925 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Oftalmoplejía completa unilateral sin pérdida de visión como forma de presentación de una apoplejía pituitaria
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Oftalmoplejía completa unilateral sin pérdida de visión como forma de presentación de una apoplejía pituitaria
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 Clínica Española - Volume 213, Issue 7, October 2013, Pages e67-e70
نویسندگان
, , , , , ,