Vasoespasmo cerebral severo por apoplejía pituitaria. Reporte de un caso y revisión de la literatura

Sandra Milena Piña-Cabrales, Anderson Julián Remolina-López, Gilberto González-López, Karina Ruiz-Cáez

Resumen


Introducción: la apoplejía pituitaria (AP) es un síndrome caracterizado por infarto o hemorragia de la glándula hipófisis. Sus síntomas clínicos son caracterizados por dolor de cabeza súbito, náuseas, vómito, síntomas visuales y disfunción hormonal.

Caso clínico: mujer de 44 años quien presentó infarto cerebral secundario a AP. Se realizó resonancia magnética nuclear, panangiografía cerebral, tomografía axial computarizada y estudios hormonales, que permitieron el diagnóstico. Se realizó descompresión transesfenoidal urgente, aunque el desenlace fue fatal.

Conclusión: la isquemia cerebral secundaria por vasoespasmo cerebral es una complicación rara y potencialmente mortal de la AP. Rev.cienc.biomed. 2016;7(2):310-315.

PALABRAS CLAVE

Neurocirugía; Apoplejía pituitaria; Infarto cerebral.

SUMMARY

Introduction: pituitary apoplexy is a syndrome characterized by a stroke or bleeding from the pituitary gland. Its clinical symptoms are characterized by sudden headache, nausea, vomiting, visual impairment and hormonal dysfunction.

Case report: the goal of this article is to illustrate an unusual case of a 44 year -old woman who presented a secondary cerebral infarct by pituitary apoplexy. It was carried out an urgency transphenoidal decompression surgery with fatal outcome.

Conclusion: secondary cerebral ischemia by cerebral vasospasm is a rare and potentially fatal complication of pituitary apoplexy. Rev.cienc.biomed. 2016;7(2):310-315.

KEYWORDS

Neurosurgery; Pituitary apoplexy; Cerebral infarction.


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Referencias


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