Pituitary apoplexy: management

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

Pituitary apoplexy: management. Magnetic resonance imaging (MRI) is the modality of choice. Fully referenced neurology checklist.

Brain imaging

  • Magnetic resonance imaging (MRI) is the modality of choice
  • Pituitary computed tomography (CT) scan is done if MRI is not possible
  • Imaging is repeated in 3-6 months then annually for 5 years
  • It is subsequently done 2-yearly

Other investigations

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Hydrocortisone treatment: indications

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Surgical treatment: indications

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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.

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