Pituitary apoplexy developing during pregnancy: escape from the verge of death
Objective: Pituitary apoplexy during pregnancy is extremely rare. Hypofunction of multiple glands due to pituitary hormone deficiency can be life threatening for the fetus and mother. A poorly functioning pituitary gland presents a variety of neurological and endocrinological symptoms, making it dif...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2020-06-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5257 |
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| Summary: | Objective: Pituitary apoplexy during pregnancy is extremely rare. Hypofunction of multiple glands due to pituitary hormone deficiency can be life threatening for the fetus and mother. A poorly functioning pituitary gland presents a variety of neurological and endocrinological symptoms, making it difficult to diagnose. The authors present a case of pituitary apoplexy in a 24-week pregnant woman who was not previously diagnosed with pituitary adenoma. Case Report: A 26-year-old woman who was 24 weeks into her first pregnancy presented with pituitary apoplexy, which included symptoms of increasing headache, nausea, vomiting, visual disturbances, and hypotensive attacks. With a multidisciplinary approach involving the departments of neurosurgery, endocrinology, gynaecology, and obstetrics, the patient underwent rapid replacement therapy and pituitary tumour excision. Pregnancy ended at the 39th week without any feto-maternal complication. Conclusion: Pituitary apoplexy developing during pregnancy is rare and, difficult to diagnose, and requires a multidisciplinary approach to achieve a successful outcome. |
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| ISSN: | 0390-6663 |