Bilateral stroke following pituitary apoplexy.
Pituitary apoplexy followed by cerebral infarction is rare. We report a 59-year-old male with a known pituitary macroadenoma who was admitted to our emergency department for treatment of an acute myocardial infarction. He underwent coronary angioplasty and was subsequently treated with aspirin, clopidogrel and full-dose enoxaparin. He developed pituitary apoplexy with bilateral compression of both internal carotid arteries, and infarction of both anterior and middle hemispheres; consequently, he died. This patient illustrates the difficulties of administering aggressive anticoagulative and antiplatelet therapy to patients who have a known pituitary adenoma.
Cecilie Vogt Clinic for Neurology in the Helios-Klinikum Berlin-Buch, Charité - University Medicine Berlin, Charitéplatz 1, 10117 Berlin, Germany.
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CM
Lill
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Hoch
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Dieste
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HP
Vogel
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Zipp
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Paul
D000236:Adenoma / Q000150:complications; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D010899:Pituitary Apoplexy / Q000150:complications*; D010911:Pituitary Neoplasms / Q000150:complications; D020521:Stroke / Q000209:etiology*; D014057:Tomography, X-Ray Computed / Q000379:methods