title: An unexpected headache: pituitary apoplexy in a pregnant woman on anticoagulation.
abstract: Pituitary apoplexy is a rare event in which the pituitary gland undergoes infarction or haemorrhage, most commonly in the setting of an underlying tumour. We report on apoplexy of an undiagnosed pituitary adenoma precipitated both by physiological enlargement of the pituitary in pregnancy and prophylactic anticoagulation from a history of deep vein thrombosis. The haemorrhage was managed conservatively without significant complications.
authors.affiliation: Department of Obstetrics and Gynaecology, Logan Hospital, Logan, Queensland, Australia.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Watson
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000139:chemically induced / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage; D018810:Magnetic Resonance Angiography / Q000379:methods; D010899:Pituitary Apoplexy / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology*; D010911:Pituitary Neoplasms / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000473:pathology; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000517:prevention & control
chemical_list: D000893:Anti-Inflammatory Agents; D000925:Anticoagulants; D006854:Hydrocortisone