Publication: Pituitary Apoplexy Complicated by Cerebral Infarction: A Case Report
Date
2021
Authors
Pokhrel, Biraj
Khanal, Shambhu
Chapagain, Parikshit
Sedain, Gopal
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
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.
Description
Biraj Pokhrel
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
https://orcid.org/0000-0003-2059-5876
Shambhu Khanal
Department of Internal Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
https://orcid.org/0000-0002-1247-7389
Parikshit Chapagain
Department of Internal Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
https://orcid.org/0000-0002-5161-9706
Gopal Sedain
Department of Neurosurgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
https://orcid.org/0000-0002-8184-3303
Keywords
cromegaly, cerebral infarction, hemiparesis, pituitary apoplexy