Pituitary insufficiency and regression of acromegaly caused by pituitary apoplexy following cerebral angiography.
Pituitary apoplexy as a complication of cerebral angiography has been described in only a few case reports. Some studies have reported the clinical resolution of active acromegaly after pituitary apoplexy. We present a patient with active acromegaly due to a growth hormone (GH)-secreting pituitary macroadenoma, who developed anterior and posterior pituitary insufficiency following cerebral angiography. Furthermore, a significant reduction in tumour size was accompanied by normalization of mean 24 h in GH insulin-like growth factor I (IGF-I) and IGF binding protein 3 levels.
Louwerens
M
M
Department of Internal Medicine III, University Hospital Rotterdam, The Netherlands.
de Herder
W W
WW
Postema
P T
PT
Tanghe
H L
HL
Lamberts
S W
SW
D000172:Acromegaly / Q000175:diagnosis / Q000503:physiopathology*; D000328:Adult; D002533:Cerebral Angiography / Q000009:adverse effects*; D002561:Cerebrovascular Disorders / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010900:Pituitary Diseases / Q000175:diagnosis / Q000209:etiology*