Expanding intracerebral hematoma from pituitary adenoma: case report.
We report the case of a 53-year-old man presenting with a headache of sudden onset and blurred vision secondary to hemorrhage from a nonfunctioning pituitary adenoma, which had been treated 25 years previously by transcranial surgery and postoperative irradiation. The intratumoral and intracerebral hematoma expanded to three times its initial size because of a recurrent hemorrhage that occurred during a 2-day period while the patient awaited surgery. The mechanisms of hematoma expansion and the management strategy in such a case are discussed, and a review of the pertinent literature is presented.
Wakai
S
S
Department of Neurosurgery, Dokkyo University School of Medicine, Tochigi, Japan.
Sato
A
A
Nagai
M
M
D000238:Adenoma, Chromophobe / Q000175:diagnosis / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy; D006801:Humans; D007016:Hypophysectomy; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000601:surgery*; D009460:Neurologic Examination; D010910:Pituitary Irradiation; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed