Symptoms And Treatment Of Pituitary Apoplexy Essay

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PITUITARY APOPLEXY INTRODUCTION Pituitary apoplexy is a rare condition that can be missed or misdiagnosed if a strong clinical suspicion is not present. The consequences can be deleterious for vision or even life threatening. This remains a poorly understood entity in both its pathogenesis and optimal management. The aim of treatment is to preserve life, vision and functionality of the gland. There is still controversy regarding the optimal management of these patients, especially conservative versus surgical management and the timing of surgical intervention. What is known for sure is that the diagnosis of pituitary apoplexy remains a neuroendocrine emergency and requires decision making as to whether to manage the patient conservatively or surgically. CASE A 33 year old female presented to the Emergency Department of the University Hospital of the West Indies with a one month history of worsening headaches and a two day history of visual deterioration. She also complained of irregular menstrual periods for the previous six months and galactorrhoea for three months. There was no change in her conscious level, no seizures or syncopal episodes. She denied any fever or photophobia. The headaches were mostly frontal with a severity of 9 on the visual analog scale (VAS). There was no previous history of an chronic illnesses. She was admitted to the Ophthalmology service for investigation of her deteriorating vision. She was referred to the neurosurgical department

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