| Identifier |
walsh_2003_s2_c2 |
| Title |
Just Another Case of Pituitary Apoplexy? |
| Creator |
David Chen, MD; Thomas R. Hedges III, MD |
| Affiliation |
(DC) (TRH) Newton, MA |
| Subject |
Uveitis; Pituitary Neoplasms; Neoplasm Metastasis; Pituitary Apoplexy; Necrosis; Diplopia; Blepharoptosis |
| 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. |
| 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 |
| Clinical |
VA: 20/25 OD, 20/20 OS; Normal color vision |
| Presenting Symptom |
Diplopia; Ptosis; Headache |
| Neuroimaging |
CT; MRI |
| Treatment |
Steroids; Surgery; XRT |
| Date |
2003 |
| 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. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
29th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM |
| Relation is Part of |
NANOS Annual Meeting 2003 |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s60k2c9q |
| Setname |
ehsl_novel_fbw |
| ID |
177633 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s60k2c9q |
