[Pituitary adenoma apoplexy after spinal anaesthesia. Report of two cases and review of the literature].
Two cases of pituitary apoplexy occurring after spinal anaesthesia are described. Both presented with headache and III par palsy, one of them with additional visual disturbance and hyponatremia. A bibliographical review has been done, looking for early diagnostic keys. We propose the arterial hypotension as a possible pathogenetic mechanism of pituitary adenoma apoplexy.
González-Tortosa
J
J
Servicio de Neurocirugía. Hospital Universitario Virgen de la Arrixaca. Murcia. tortosa@ctv.es
Poza-Poza
M
M
Ruiz-Espejo-Vilar
A
A
D000236:Adenoma / Q000098:blood supply / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D001794:Blood Pressure; D020790:Diabetes Insipidus, Neurogenic / Q000209:etiology; D003937:Diagnosis, Differential; D007172:Erectile Dysfunction / Q000209:etiology; D006801:Humans; D007010:Hyponatremia / Q000209:etiology; D007018:Hypopituitarism / Q000209:etiology; D033162:Incidental Findings; D020300:Intracranial Hemorrhages / Q000209:etiology; D007427:Intracranial Pressure; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000209:etiology; D010899:Pituitary Apoplexy / Q000209:etiology* / Q000503:physiopathology; D010911:Pituitary Neoplasms / Q000098:blood supply / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology*; D014786:Vision Disorders / Q000209:etiology