All are associated with pituitary apoplexy except :
Correct Answer: >Hypehyroidism
Description: Hypehyroidism /Ref. Harrison 17th/e 2198-2199 & 16thie p 2078] Pituitary apoplexy Acute intrapituitzuy hemorrhagic vascular event causing substantial damge to pituitary. Symptoms of pituitary apoplexy Endocrinal emergency Severe hypoglycemia Hypotension Central nervous system hemorrhage and death. Acute symptoms Severe headache with signs of meningeal irritation B/L visual changes Ophthalmoplegia Cardiovascular collapse and loss of consciousness (in severe cases) Causes of pituitary apoplexy Preexisting adenoma (spontaneously) Pospaum (sheehan's syndrome) Diabetes mellitus Hypeension Sickle cell anemia Acute shock Diagnosis CT or MRI reveal signs of intratumoral or cellar hemorrhage with detion of pituitary stalk and compression of pituitary tissue. Treatment Patient with no evidence of visual loss or impaired consciousness - Managed conservatively with high dose glucocoicoid Patient with significant visual loss and loss of consciousness - Require urgent surgical decompression - Visual recovery is inversely correlated with the length of the time after the acute event
Category:
Surgery
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