[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.
Sección de Nuerología, Hospital General Universitario de Elche, Alicante, Spain. n_lopez@coma.es
N
N
López Hernández
A
A
García Escrivá
J M
JM
Moltó Jordá
N
N
García Barragán
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*