Pituitary Apoplexy Flashcards
1
Q
What precipitates pituitary apoplexy?
A
- HTN
- Pregnancy
- Trauma
- Anticoagulation
2
Q
What is pituitary apoplexy?
A
Sudden enlargement of a pituitary tumour usually secondary to haemorrhage or infection
3
Q
How does pituitary apoplexy present?
A
- Sudden onset headache
- Vomiting
- Neck stiffness
- Visual field defect: bitemporal superior quadrantic defect
- Pituitary insufficiency
4
Q
How is pituitary apoplexy managed?
A
- MRI
- Urgent steroid replacement due to loss of ACTH
- Fluid balancing
- Surgery
