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Pituitary Apoplexy Complicated by Cerebral Infarction: A Case Report
Journal article   Peer reviewed

Pituitary Apoplexy Complicated by Cerebral Infarction: A Case Report

Biraj Pokhrel, Shambhu Khanal, Parikshit Chapagain and Gopal Sedain
Journal of Nepal Medical Association, Vol.59(238), pp.723-726
07/01/2021
DOI: 10.31729/jnma.6120
PMID: 34508512
url
https://doi.org/10.31729/jnma.6120View
Published (Version of record) Open Access

Abstract

Cerebral infarction is a rare complication of pituitary apoplexy, which can result in significant morbidity if not treated on time. Pituitary apoplexy mostly occurs in pre-existing adenoma, which can remain undiagnosed until symptoms arise. Here, we present a case of a 26-year-old man with undiagnosed acromegaly who presented with left retro-orbital pain, diminished vision of the left eye, and right hemiparesis. Neuroimaging revealed large hemorrhagic sellar mass and ischemic infarction in the left middle cerebral artery territory. Emergency transcranial tumor excision was done, which resulted in significant neurological recovery.
General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Public, Environmental & Occupational Health Science & Technology

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