Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3063237 | Journal of Clinical Neuroscience | 2009 | 4 Pages |
Abstract
Pituitary apoplexy followed by cerebral infarction is rare. We report a 59-year-old male with a known pituitary macroadenoma who was admitted to our emergency department for treatment of an acute myocardial infarction. He underwent coronary angioplasty and was subsequently treated with aspirin, clopidogrel and full-dose enoxaparin. He developed pituitary apoplexy with bilateral compression of both internal carotid arteries, and infarction of both anterior and middle hemispheres; consequently, he died. This patient illustrates the difficulties of administering aggressive anticoagulative and antiplatelet therapy to patients who have a known pituitary adenoma.
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Authors
C.M. Lill, H. Hoch, F.-J. Dieste, H.-P. Vogel, F. Zipp, F. Paul,