Keywords
Pituitary Neoplasms
Headeache
How to Cite
Abstract
Background: Pituitary apoplexy is produced by hemorrhagic and ischemic infarction in the hypophysiary tumor. It runs with sudden and high headache, signs of meningeal irritation, visual alterations, and even blindness and in some occasions a decrease of the level of awareness.
Case Report: 60 years old male, it’s admitted for a sudden start headache with increasing intensity and three days of evolution. The day before the admission: dizziness and right sided ptosis of the eyelid, decrease of ocular mobility on the same side. MNR of the brain shows a hypophysiary macroadenoma with added hemorrhage. TSH and ACTH decreased. Hormonal substitution therapy is initiated with prednisone and levotiroxin. After a week of treatment the patient shows a favorable evolution and recovers the ocular mobility. He is discharged with a follow-up of the levotiroxin and prednisone treatment.
Conclusion: The initial handlings of the pituitary stroke consist in the establishment of life support measures, with an adequate hydroelectrolytical replenishment and hormonal substitution treatment.
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