Pituitary apoplexy manifesting as diffuse subarachnoid hemorrhage.
A 46-year-old woman presented with hemorrhage from a non-functioning pituitary adenoma manifesting as sudden onset of severe headache. Computed tomography demonstrated diffuse subarachnoid hemorrhage (SAH) and a suprasellar mass with intratumoral hematoma. The patient underwent transnasal transsphenoidal removal of the pituitary adenoma. This type of SAH with intratumoral hematoma simulates rupture of an anterior cerebral artery aneurysm.
Nakahara
Kuniaki
K
Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan. nakahara19@hotmail.com
Oka
Hidehiro
H
Utsuki
Satoshi
S
Iida
Hideo
H
Kurita
Mari
M
Mochizuki
Takahiro
T
Fujii
Kiyotaka
K
D000236:Adenoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010899:Pituitary Apoplexy / Q000150:complications*; D010911:Pituitary Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D011859:Radiography; D013345:Subarachnoid Hemorrhage / Q000209:etiology*