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Case Reports
. 2021 Jul 30;59(239):723-726.
doi: 10.31729/jnma.6120.

Pituitary Apoplexy Complicated by Cerebral Infarction: A Case Report

Biraj Pokhrel  1 , Shambhu Khanal  2 , Parikshit Chapagain  2 , Gopal Sedain  3
Affiliations
Case Reports

Pituitary Apoplexy Complicated by Cerebral Infarction: A Case Report

Biraj Pokhrel et al. JNMA J Nepal Med Assoc. .

Abstract

Cerebral infarction is a rare complication of pituitary apoplexy, which can result in significant morbidity if not treated on time. Pituitary apoplexy mostly occurs in pre-existing adenoma, which can remain undiagnosed until symptoms arise. Here, we present a case of a 26-year-old man with undiagnosed acromegaly who presented with left retro-orbital pain, diminished vision of the left eye, and right hemiparesis. Neuroimaging revealed large hemorrhagic sellar mass and ischemic infarction in the left middle cerebral artery territory. Emergency transcranial tumor excision was done, which resulted in significant neurological recovery.

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Conflict of interest statement

None.

Figures

Figure 1 A, B
Figure 1 A, B. Non-contrast CT scan of the brain.
Figure 2 A, B
Figure 2 A, B. T2-weighted MRI scans of the brain.
Figure 3 A, B
Figure 3 A, B. Postoperative CT scan of the brain.
See this image and copyright information in PMC

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