Bilateral stroke following pituitary apoplexy

被引：14

作者：

Lill, C. M. ^{[1
]}

Hoch, H. ^{[2
]}

Dieste, F. -J. ^{[1
]}

Vogel, H. -P. ^{[1
]}

Zipp, F. ^{[1
]}

Paul, F. ^{[1
,3
]}

机构：

[1] Charite, Cecilie Vogt Clin Neurol, Helios Klinikum Berlin Buch, D-10117 Berlin, Germany

[2] Helios Klinikum Berlin Buch, Inst Neuroradiol, Berlin, Germany

[3] Charite, NeuroCure Clin Res Ctr, D-10117 Berlin, Germany

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2009年 / 16卷 / 12期

关键词：

Pituitary apoplexy; Stroke; Internal carotid artery; Bilateral; Compression; Anticoagulation; Coronary angiography; Coronary angioplasty; COMPLICATION; ADENOMAS; SURGERY;

D O I：

10.1016/j.jocn.2009.03.011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Pituitary apoplexy followed by cerebral infarction is rare. We report a 59-year-old male with a known pituitary macroadenoma who was admitted to our emergency department for treatment of an acute myocardial infarction. He underwent coronary angioplasty and was subsequently treated with aspirin, clopidogrel and full-dose enoxaparin. He developed pituitary apoplexy with bilateral compression of both internal carotid arteries, and infarction of both anterior and middle hemispheres; consequently, he died. This patient illustrates the difficulties of administering aggressive anticoagulative and antiplatelet therapy to patients who have a known pituitary adenoma. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：1670 / 1673

页数：4

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