Pituitary apoplexy with minor cerebral infarction

Adi SYAZNI MUHAMMED, Azizi ABU BAKAR, Kamalanathan PALANIANDY, Redzuan ISMAIL, Ramesh KUMAR

Division of Neurosurgery, Department of Surgery National University of Malaysia, Kuala Lumpur, Malaysia

ABSTRACT

Pituitary apoplexy is a vascular event within the pituitary gland, in which haemorrhage or infarction may occur, and is commonly associated with pituitary adenoma. However, concurrent cerebrovascular incident beyond the gland is rare. This article reports a case of a pituitary apoplexy complicated with subarachnoid haemorrhage and cerebral infarction in a 60-year-old lady. She presented with sudden blurring of vision and right third cranial nerve palsy. Imaging revealed pituitary apoplexy with subarachnoid haemorrhage and cerebral infarction. Failing conservative management, surgical excision was performed. Her symptoms improved and she recovered well with no major neurological deficit.

Keywords: Pituitary apoplexy, subarachnoid haemorrhage, cerebral infarction, ptosis, Vasospasm

Correspondence author: Ramesh KUMAR, Division of Neurosurgery, Department of Surgery, Faculty of Medicine, National University of Malaysia, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia.

Tel: + 6(010) -4054185, E mail: rameshkumar71@hotmail.com; grmanocha@gmail.com; rameshkumar71@hotmail.co.uk

Brunei Int Med J. 2016; 12 (2): 80-84