Apoplexy of pituitary adenomas: the perfect storm

• Published in: Journal of neurosurgery Vol. 122; no. 6; p. 1444
• Main Authors: Oldfield, Edward H, Merrill, Marsha J
• Format: Journal Article
• Language: English
• Published: United States 01.06.2015
• Subjects: Adenoma - metabolism; Adenoma - pathology; Adenoma - surgery; Energy Metabolism - physiology; Glucose - metabolism; Humans; Male; Middle Aged; Pituitary Apoplexy - metabolism; Pituitary Apoplexy - pathology; Pituitary Apoplexy - surgery; Pituitary Neoplasms - metabolism; Pituitary Neoplasms - pathology; Pituitary Neoplasms - surgery; VEGF = vascular endothelial growth factor; FDG = fluorodeoxyglucose; pituitary adenoma; pituitary apoplexy; PET = positron emission tomography; pituitary surgery

Pituitary adenomas occasionally undergo infarction, apoplexy, which often destroys much of the tumor. It is well known that apoplexy can be precipitated by several acute factors, including cardiac surgery, other types of surgery, trauma, insulin infusion, and stimulation with administration of hypot...