Rapid Pituitary Apoplexy Regression: What Is the Time Course of Clot Resolution?

A 29-year-old male patient with a functioning pituitary macroadenoma is discussed. The pituitary mass was detected by MRI after the patient presented with sudden onset of headache, suggestive of an apoplectic event. The headache resolved with analgesic medications. Within a follow-up period of one w...

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Main Authors: Devon L. Jackson, Jamie J. Van Gompel
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2015/268974
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author Devon L. Jackson
Jamie J. Van Gompel
author_facet Devon L. Jackson
Jamie J. Van Gompel
author_sort Devon L. Jackson
collection DOAJ
description A 29-year-old male patient with a functioning pituitary macroadenoma is discussed. The pituitary mass was detected by MRI after the patient presented with sudden onset of headache, suggestive of an apoplectic event. The headache resolved with analgesic medications. Within a follow-up period of one week, the pituitary mass had spontaneously regressed to nearly half its original size without any therapy. The patient never reported any visual complaints and displayed no signs of hypopituitarism. Elevated prolactin levels were present. Seven weeks after the initial event, the pituitary mass showed continued regression on MRI. Prolactin levels remained elevated. This case provides a unique look at the rapid spontaneous regression of mass effect that may occur following apoplexy of a pituitary adenoma.
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series Case Reports in Radiology
spelling doaj-art-c4b18941c5de42dd9ca2854c173c69b52025-02-03T01:00:02ZengWileyCase Reports in Radiology2090-68622090-68702015-01-01201510.1155/2015/268974268974Rapid Pituitary Apoplexy Regression: What Is the Time Course of Clot Resolution?Devon L. Jackson0Jamie J. Van Gompel1College of Medicine, Howard University, Washington, DC 20059, USADepartment of Neurological Surgery, Mayo Clinic, Rochester, MN 55905, USAA 29-year-old male patient with a functioning pituitary macroadenoma is discussed. The pituitary mass was detected by MRI after the patient presented with sudden onset of headache, suggestive of an apoplectic event. The headache resolved with analgesic medications. Within a follow-up period of one week, the pituitary mass had spontaneously regressed to nearly half its original size without any therapy. The patient never reported any visual complaints and displayed no signs of hypopituitarism. Elevated prolactin levels were present. Seven weeks after the initial event, the pituitary mass showed continued regression on MRI. Prolactin levels remained elevated. This case provides a unique look at the rapid spontaneous regression of mass effect that may occur following apoplexy of a pituitary adenoma.http://dx.doi.org/10.1155/2015/268974
spellingShingle Devon L. Jackson
Jamie J. Van Gompel
Rapid Pituitary Apoplexy Regression: What Is the Time Course of Clot Resolution?
Case Reports in Radiology
title Rapid Pituitary Apoplexy Regression: What Is the Time Course of Clot Resolution?
title_full Rapid Pituitary Apoplexy Regression: What Is the Time Course of Clot Resolution?
title_fullStr Rapid Pituitary Apoplexy Regression: What Is the Time Course of Clot Resolution?
title_full_unstemmed Rapid Pituitary Apoplexy Regression: What Is the Time Course of Clot Resolution?
title_short Rapid Pituitary Apoplexy Regression: What Is the Time Course of Clot Resolution?
title_sort rapid pituitary apoplexy regression what is the time course of clot resolution
url http://dx.doi.org/10.1155/2015/268974
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AT jamiejvangompel rapidpituitaryapoplexyregressionwhatisthetimecourseofclotresolution