Just Another Case of Pituitary Apoplexy?

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Identifier walsh_2003_s2_c2
Title Just Another Case of Pituitary Apoplexy?
Creator Chen, David
Subject Uveitis; Pituitary Neoplasms; Neoplasm Metastasis; Pituitary Apoplexy; Necrosis; Diplopia; Blepharoptosis
Presenting Symptom Diplopia; Ptosis; Headache
History A 46-year old female with drooping right lid, double vision and severe headache. Previous history significant for autoimmune hepatitis and bilateral idiopathic uveitis.
Clinical VA: 20/25 OD, 20/20 OS; Normal color vision
Neuroimaging CT; MRI
Pathology Pituitary mass composed of highly pleomorphic tumor cells with significant mitotic figures.
Disease/Diagnosis Poor differntiated malignant neoplasm metastatic to the left pituitary fossa
Treatment Steroids; Surgery; XRT
References 1. Aaberg TM Jr., Kay M, Sternau L. Metastatic tumors to the pituitary. Am J Ophthalmol. 1995;119:779-85. 2. Anderson DF, Afshar F, Toma N. Metastatic prostatic adenocarcinoma presenting as complete ophthalmoplegia from pituitary apoplexy. Br J Ophthalmol. 1994;78:315-6. 3. Branch CL, Laws ER. Metastatic tumors of the sella turcica masquerading as primary pituitary tumors. J Clin Endocrinol Metab. 1987;65:469-74. 4. Buonaguidi R, Ferdeghini M, Faggionato F, Tusini G. Intrasellar metastasis mimicking a pituitary adenoma. Surg Neurol. 1983;20:373-8. 5. Carral F. Pituitary Apoplexy. Arch Neurol. 2001;58:1143-4. 6. Cullom ME, Savino PJ. Adenocarcinoma of the prostate presenting as a third nerve palsy. Neurol. 1993;43:2146-7. 7. Hurley TR, D'Angelo CM, Clasen RA, DiGianfilippo A, Ryan WG. Adenocarcinoma to a growth-hormone-secreting pituitary adenoma: Case report. Surg Neurol. 1992; 37:361-5. 8. James RL, Arsenis G, Stoler M, Nelson C, Baran D. Hypophyseal metastatic renal cell carcinoma and pituitary adenoma. Case report and review of literature. Am J Med. 1984;76:337-40. 9. Kovacs K. Metastatic cancer of the pituitary gland. Oncology. 1973;27:533-42. 10. Molinatti PA, Scheithauer BW, Randall RV, Laws ER. Metastasis to pituitary adenoma. Arch Pathol Lab Med. 1985;109:287-9. 11. Richardson JF, Katayama I. Neoplasm to neoplasm metastasis. An acidophil adenoma harbouring metastatic carcinoma: A case report. Arch Path. 1971;91:135-9. 12. Teears RJ, Silverman EM. Clinicopathologic review of 88 cases of carcinoma metastatic to the pituitary. Cancer. 1975;36:216-20. 13. Zager EL, Hedley-Whyte ET. Metastasis within a pituitary adenoma presenting with bilateral abducens palsies: Case report and review of the literature. Neurosurg. 1987;21:383-6.
Relation is Part of Case 2, Session II, Walsh Session, NANOS 2003
Contributor Primary Chen, David
Contributor Secondary Hedges, Thomas R. III
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2003
Type Text
Format application/pdf
Source 29th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s60k2c9q
Setname ehsl_novel_fbw
Date Created 2006-09-01
Date Modified 2021-05-06
ID 177633
Reference URL https://collections.lib.utah.edu/ark:/87278/s60k2c9q