title: [Pituitary apoplexy in a young woman].
abstract: Pituitary apoplexy occurs when a preexisting pituitary adenoma undergoes acute haemorrhage, infarct or both. The patho-genesis is not fully understood but macroadenomas and prolactinomas have been reported as being predisposed to apoplexy. Only a few cases are described in the paediatric population. We present a 17-year-old woman with secondary amenorrhoea, headache and blurred vision. An MRI showed a pituitary apoplexy in a preexisting macroadenoma. The majority of milder cases resolve spontaneously. Close monitoring of the pituitary function is important to detect pituitary insufficiency witch may need long-term hormone replacement therapy.
authors.affiliation: Børne- og Ungeafdelingen, Nordsjællands Hospital, Dyrehavevej 29, 3400 Hillerød. anna.elisabeth.lewis@regionh.dk.
authors.forename: Anna
authors.initials: A
authors.lastname: Lewis
authors.forename: Anne Elisabeth
authors.initials: AE
authors.lastname: Jarløv
authors.forename: Kirsten
authors.initials: K
authors.lastname: Holm
authors.forename: Line
authors.initials: L
authors.lastname: Cleemann
mesh_terms: D000236:Adenoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D000293:Adolescent; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000077465:Cabergoline; D004873:Ergolines / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010899:Pituitary Apoplexy / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy
chemical_list: D000970:Antineoplastic Agents; D004873:Ergolines; D000077465:Cabergoline