title: Pituitary apoplexy manifested by sterile meningitis.
abstract: Pituitary apoplexy is rare and underdiagnosed. It results from either infarction or hemorrhage into an adenoma of the pituitary gland. The clinical presentation comprises a rapid development of impaired consciousness, severe headache, and amblyopia or diplopia. Meningeal irritation signs are considered rare and have not been reported as presenting signs. We report a 64-year-old patient whose presentation with necrosis of a pituitary adenoma was clinically indistinguishable from infectious meningitis.
authors.affiliation: Division of Medicine, Hadassah Hebrew University Medical Center, Jerusalem, POB 12000, Israel. havivyo@md2.huji.ac.il
authors.forename: Y S
authors.initials: YS
authors.lastname: Haviv
authors.forename: N
authors.initials: N
authors.lastname: Goldschmidt
authors.forename: R
authors.initials: R
authors.lastname: Safadi
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008582:Meningitis, Aseptic / Q000175:diagnosis*; D008875:Middle Aged; D010899:Pituitary Apoplexy / Q000175:diagnosis*