Pituitary apoplexy and inappropriate ADH secretion.
Pituitary apoplexy may be associated with visual deterioration that may be severe in some cases. Misdiagnosis of this condition is not uncommon, resulting in delayed treatment, which may adversely affect the outcome and visual prognosis. We present a case of pituitary apoplexy, who presented with features of syndrome of inappropriate anti-diuretic hormone secretion (SIADH) and monocular blindness. He had remarkable improvement to normal vision along with normalisation of serum sodium following emergency trans-sphenoidal surgery.
Agrawal
Deepak
D
Department of Neurosurgery, CN Centre, All India Institute of Medical Sciences, New Delhi, India.
Mahapatra
A K
AK
D019299:Decompression, Surgical / Q000379:methods; D006801:Humans; D007177:Inappropriate ADH Syndrome / Q000097:blood / Q000209:etiology; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009481:Neurophysins / Q000378:metabolism*; D010899:Pituitary Apoplexy / Q000150:complications / Q000378:metabolism* / Q000473:pathology / Q000601:surgery; D010902:Pituitary Gland / Q000378:metabolism / Q000601:surgery; D011498:Protein Precursors / Q000378:metabolism*; D012964:Sodium / Q000097:blood; D014667:Vasopressins / Q000378:metabolism*
C438657:AVP protein, human; D009481:Neurophysins; D011498:Protein Precursors; D014667:Vasopressins; D012964:Sodium