[Massive cerebral infarction secondary to apoplexy due to pituitary adenoma].
BACKGROUND
Pituitary apoplexy is a rare clinical entity. It is a rare cause of stroke, whose pathogenic mechanism has not been fully understood. Compression in intracavernous carotid artery and vasospastic mechanism have been described. It may initially begin as a meningeal syndrome, in which neuroimaging techniques may be fundamental, above all resonance magnetic imaging for a correct diagnosis of the disease and its complications.


METHODS
We report the case of a 23 year-old male who suffered a massive stroke due to bilateral carotid compression in its intracavernous portion due to apoplexy of a previously unknown pituitary tumor. The diffusion sequences and acute angioresonance of the circle of Willis are presented.


CONCLUSIONS
This is a rare entity with controversial management. An exhaustive review of cases and series of patients with pituitary apoplexy related stroke is also presented.
López Hernández
N
N
Sección de Nuerología, Hospital General Universitario de Elche, Alicante, Spain. n_lopez@coma.es
García Escrivá
A
A
Moltó Jordá
J M
JM
García Barragán
N
N
D000236:Adenoma / Q000150:complications*; D000328:Adult; D002544:Cerebral Infarction / Q000209:etiology*; D006801:Humans; D008297:Male; D010899:Pituitary Apoplexy / Q000150:complications* / Q000209:etiology; D010911:Pituitary Neoplasms / Q000150:complications*