title: Apoplexy in sellar metastasis: a case report and review of literature.
abstract: Apoplexy in sellar metastasis is very rare with only a few case reports in literature. A case of apoplexy in sellar metastasis from follicular thyroid carcinoma is reported and the literature is briefly reviewed. The patient presented with sudden onset headache and bi-lateral loss of vision following thyroidectomy in a case of follicular carcinoma thyroid with proven sellar metastasis. CT scan showed hyperdense blood in sellar mass suggestive of apoplexy in sellar metastasis. The patient underwent early trans-sphenoidal decompression. Apoplexy in sellar metastasis, although very rare, can be clinico-radiologically indistinguishable from pituitary apoplexy and should be especially considered in the differential diagnosis of patients with known primary neoplastic disease. In view of similar patho-physiological mechanism, sellar metastasis with apoplexy should be managed in a similar manner as pituitary apoplexy.
authors.affiliation: Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Neurosurgery, Srinager/ J&K, India. sarabjitchhiber@gmai.com
authors.forename: Sarbjit Singh
authors.initials: SS
authors.lastname: Chhiber
authors.forename: Abdul Rashid
authors.initials: AR
authors.lastname: Bhat
authors.forename: Shoukat H
authors.initials: SH
authors.lastname: Khan
authors.forename: Mohd Afzal
authors.initials: MA
authors.lastname: Wani
authors.forename: Altaf U
authors.initials: AU
authors.lastname: Ramzan
authors.forename: Altaf R
authors.initials: AR
authors.lastname: Kirmani
authors.forename: Nayel K
authors.initials: NK
authors.lastname: Malik
authors.forename: Abrar A
authors.initials: AA
authors.lastname: Wani
authors.forename: Tanveer
authors.initials: T
authors.lastname: Rather
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000000981:diagnostic imaging / Q000556:secondary*; D000368:Aged; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D011859:Radiography; D012658:Sella Turcica / Q000000981:diagnostic imaging / Q000473:pathology*; D020521:Stroke / Q000209:etiology*; D013964:Thyroid Neoplasms / Q000473:pathology