Pituitary apoplexy: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Pituitary apoplexy: clinical features. Hypertension, Gamma knife irradiation, Anticoagulant therapy, Coagulopathies. Fully referenced neurology checklist.

Triggers

  • Hypertension
  • Major surgery: especially coronary artery bypass graft (CABG)
  • Gamma knife irradiation
  • Anticoagulant therapy
  • Coagulopathies
  • Estrogen therapy
  • Dopamine agonists
  • Withdrawal of dopamine agonists
  • Radiation therapy
  • Pregnancy
  • Head injury
  • Dynamic pituitary function tests
  • Ruptured internal carotid artery aneurysm

Clinical features

Locked: subscribe to see this section.

Cranial nerve palsies

Locked: subscribe to see this section.

Differential diagnosis

Locked: subscribe to see this section.

References

  1. Rajasekaran S, Vanderpump M, Baldeweg S, et al. UK guidelines for the management of pituitary apoplexy. Clin Endocrinol 2011; 74:9-20.
  2. Ranabir S, Baruah MP. Pituitary apoplexy. Indian J Endocrinol Metab 2011; 15(Suppl3):S188–S196.
  3. Semple PL, Jane JA Jr, Laws ER Jr. Clinical relevance of precipitating factors in pituitary apoplexy. Neurosurgery 2007; 61:956-961.
  4. Biousse V, Newman NJ, Oyesiku NM. Precipitating factors in pituitary apoplexy. JNNP 2001; 71:542-545.
  5. Suzuki H, Muramatsu M, Murao K, Kawaguchi K, Shimizu T. Pituitary apoplexy caused by ruptured internal carotid artery aneurysm. Stroke 2001; 32:567-569.
  6. And 1 more. Subscribe to see the full list

Related checklists

Loading...