Conservative management of pituitary tumor apoplexy

Pituitary tumor apoplexy is a rare neuroendocrine syndrome resulting, in most cases, from hemorrhage or infarctation of a pre-existing pituitary adenoma. Treatment recommendations vary; some authors advocate urgent surgical decompression of the tumor, whereas others suggest that conservative managem...

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Published inArquivos brasileiros de endocrinologia e metabologia Vol. 55; no. 5; pp. 345 - 348
Main Authors Santos, Antonio Benigno A, França, Mariana M, Hirosawa, Renata M, Marivo, Mônica, Zanini, Marco A, Nunes, Vania S
Format Journal Article
LanguageEnglish
Published Brazil 01.06.2011
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Summary:Pituitary tumor apoplexy is a rare neuroendocrine syndrome resulting, in most cases, from hemorrhage or infarctation of a pre-existing pituitary adenoma. Treatment recommendations vary; some authors advocate urgent surgical decompression of the tumor, whereas others suggest that conservative management can lead to recovery of neuro-ophthalmologic function. We describe two patients with pituitary tumor apoplexy who had clinically non-functioning macroadenomas and hypopituitarism, including hypogonadism. They were treated conservatively without surgery, and achieved tumor remission.
Bibliography:ObjectType-Case Study-2
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ISSN:0004-2730
1677-9487
0004-2730
DOI:10.1590/S0004-27302011000500008