Vasoespasmo cerebral severo por apoplejía pituitaria : reporte de un caso y revisión de la literatura.
Severe cerebral vasospasm by pituitary aplopexy : a case report and literature review.
Contenido principal del artículo
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.
Palabras clave:
Descargas
Detalles del artículo
Referencias (VER)
Zhang C. et al. Cerebral infarction caused by pituitary apoplexy: case report and rewiew of literature. Turk Neurosurg. 2014; 24(5): 782-787. https://doi.org/10.5137/1019-5149.JTN.9237-13.0
Briet C, Salenave S, Chanson P. Pituitary apoplexy. Endocrinol Metab Clin North Am. 2015; 44(1): 199-209. https://doi.org/10.1016/j.ecl.2014.10.016
Ahmed SK, Semple PL. Cerebral ischaemia in pituitary apoplexy. Acta Neurochir (Wien). 2008; 150(11): 1193-6. https://doi.org/10.1007/s00701-008-0130-3
Chokyu I, Tsuyuguchi N, Goto T, Chokyu K, Chokyu M, Ohata K. Pituitary apoplexy causing internal carotid artery occlusion--case report. Neurol Med Chir (Tokyo). 2011; 51(1): 48-51. https://doi.org/10.2176/nmc.51.48
Das NK, Behari S, Banerji D. Pituitary apoplexy associated with acute cerebral infarct. J Clin Neurosci. 2008; 15(12): 1418-20. https://doi.org/10.1016/j.jocn.2007.05.021
Rey-Dios R, Payner TD, Cohen-Gadol AA. Pituitary macroadenoma causing symptomatic internal carotid artery compression: surgical treatment through transsphenoidal tumor resection. J Clin Neurosci. 2014; 21(4): 541-6. https://doi.org/10.1016/j.jocn.2013.08.002
Elsässer Imboden PN et al. Apoplexy in pituitary macroadenoma: eight patients presenting in 12 months. Medicine (Baltimore). 2005; 84(3): 188-96. https://doi.org/10.1097/01.md.0000164205.77287.9e
Rajasekaran S, et al. UK guidelines for the management of pituitary apoplexy. Pituitary Apoplexy Guidelines Development Group. Clinical Endocrinology. 2011; 74: 9-20. https://doi.org/10.1111/j.1365-2265.2010.03913.x
Biousse V, Newman NJ, Oyesiku NM. Precipitating factors in pituitary apoplexy. J Neurol Neurosurg Psychiatry. 2001; 71(4): 542-5. https://doi.org/10.1136/jnnp.71.4.542
Ayuk J, McGregor EJ, Mitchell RD, Gittoes NJ. Acute management of pituitary apoplexysurgery or conservative management? Clin Endocrinol (Oxf). 2004; 61(6): 747-52. https://doi.org/10.1111/j.1365-2265.2004.02162.x
Semple PL, Webb MK, de Villiers JC, Laws ER Jr. Pituitary apoplexy. Neurosurgery. 2005; 56(1): 65-72. https://doi.org/10.1227/01.NEU.0000144840.55247.38
Semple PL, Jane JA, Laws ER. Clinical relevance of precipitating factors in pituitary apoplexy. Neurosurgery. 2007; 61: 956-962. https://doi.org/10.1227/01.neu.0000303191.57178.2a
Sade B, Morh G, Tanpieri D, Rizzo A: Intrasellar aneurysm and a growth hormone-secreting pituitary macroadenoma. J Neurosurg. 2004; 100: 557-59. https://doi.org/10.3171/jns.2004.100.3.0557
Cardoso ER, Peterson EW. Pituitary apoplexy and vasospasm. Surg Neurol. 1983; 20(5): 391-5. https://doi.org/10.1016/0090-3019(83)90009-5
Pozzati E, Frank G, Nasi MT, Giuliani G. Pituitary apoplexy, bilateral carotid vasospasm and cerebral infarction in a 15-year-old boy. Neurosurgery. 1987; 20(1): 56-9. https://doi.org/10.1227/00006123-198701000-00015
Itoyama Y, Goto S, Miura M, Kuratsu J, Ushio Y, Matsumoto T. Intracranial arterial vasospasm associated with pituitary apoplexy after head trauma--case report. Neurol Med Chir (Tokyo). 1990; 30(5): 350-3. https://doi.org/10.2176/nmc.30.350
Sanno N, Ishii Y, Sugiyama M, Takagi R, Node Y, Teramoto A. Subarachnoid haemorrhage and vasospasm due to pituitary apoplexy after pituitary function tests. Acta Neurochir (Wien). 1999; 141(9): 1009-10. https://doi.org/10.1007/s007010050409
Rodier G, Mootien Y, Battaglia F, Martinet O, Cohen E. Bilateral stroke secondary to pituitary apoplexy. J Neurol. 2003; 250(4): 494-5. https://doi.org/10.1007/s00415-003-1008-1
Akutsu H, Noguchi S, Tsunoda T, Sasaki M, Matsumura A. Cerebral infarction following pituitary apoplexy-case report. Neurol Med Chir (Tokyo). 2004; 44(9): 479-83. https://doi.org/10.2176/nmc.44.479
Bhansali A, Dutta P, Khandelwal N, Pathak A, Vashisht R. Pituitary apoplexy: an unusual cause of frontal lobe syndrome. Australasian Radiol. 2005; 49(2): 127-3. https://doi.org/10.1111/j.1440-1673.2005.01362.x
Jeon BC, Park YS, Oh HS, Kim YS, Chun BK. Pituitary apoplexy complicated by chemical meningitis and cerebral infarction. J Korean Med Sci. 2007; 22(6): 1085-9. https://doi.org/10.3346/jkms.2007.22.6.1085
Radhiana H, Syazarina SO, Shahizon Azura AM, Azizi AB. Pituitary apoplexy: a rare cause of middle cerebral artery infarction. Med J Malaysia. 2013; 68(3): 264-6.
San Laureano FC, Villarejo IG, y cols. Apoplejía hipofisaria. Protocolo de actuación diagnóstica y terapéutica en urgencias. Emergencias. 2001; 13: 279-282.