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KMID : 0381219750070010069
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Journal of RIMSK
1975 Volume.7 No. 1 p.69 ~ p.73
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A Case of Pituitary Apoplexy
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Abstract
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Attention has recently been called to the occasional sudden expansion of a pituitary tumor by hemorrhage within it causing sudden loss of vision, and the management of the pituitary apoplexy should be regarded as a neurcsurgical emergency. we have experienced a case of pituitary apoplexy with pituitary tumor.
A 59-year-old man was admitted to the Department of Neurosugery, Catholic Medical Center on May 4. 1973, with a severe frontal headache, vomiting and visual impairment for 15 days.
On examination, he was disclosed mental alertness, loss of visual acuity of both eyes, and right ophthalmoplegia, but the left 6th cranial nerve was thought to be functioning. The optic disc showed no papilledema or atropy and both pupils were dilated and fixed.
The occurrence of the pituitary apoplexy due to pituitary tumor in this patient was confirmed by the plain skull x-ray, carotid angiography, pneumcencephalography and cerebrospinal fluid examination.
Although we were supposed to decompress the enlarged necrotic hemorrhagic tumor for the restoration of vision from the compression of nearby optic pathway, unfortunately he was refused it, and discharged to home on 4th hospital day.
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