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Case Reports
. 2010 Jul;20(4):285-8.
doi: 10.1055/s-0030-1249243.

Fatal Bilateral ACA Territory Infarcts after Pituitary Apoplexy: A Case Report and Literature Review

Sandeep Mohindra  1 , Priyamvada Kovai, Rajesh Chhabra
Affiliations
Case Reports

Fatal Bilateral ACA Territory Infarcts after Pituitary Apoplexy: A Case Report and Literature Review

Sandeep Mohindra et al. Skull Base. 2010 Jul.

Abstract

Apoplexy of pituitary tumors is a common occurrence. In addition to commonly known presentations, cerebral infarcts and consequent focal neurologic deficits are a rare presentation. A rare case of pituitary apoplexy with associated subarachnoid bleed and bilateral anterior cerebral artery infarcts is described. Vasospasm leading to cerebral infarcts and consequent focal neurologic deficits as a presentation of pituitary apoplexy needs to be better appreciated.

Keywords: Pituitary apoplexy; cerebral infarcts.

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Figures

Figure 1
Figure 1
Axial section of plain computed tomographic (CT) scan, showing hyperdense sellar mass.
Figure 2
Figure 2
Axial section of contrast-enhanced magnetic resonance imaging (MRI) scan, showing varying contrast-enhancing sellar mass.
Figure 3
Figure 3
Coronal section of contrast-enhanced magnetic resonance imaging (MRI) scan, showing massive suprasellar extension of sellar tumor.
Figure 4
Figure 4
Sagittal section of T2-weighted scan, showing hemorrhagic sellar lesion, with suprasellar extension.
Figure 5
Figure 5
Axial section of computed tomographic (CT) scan, showing interhemispheric fissure bleed.
Figure 6
Figure 6
Axial section of computed tomographic (CT) scan, showing infarcts involving both the frontal lobes, pertaining to both the anterior cerebral arteries.
See this image and copyright information in PMC

References

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