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Spontaneous haemorrhage into an empty sella turcica mimicking pituitary apoplexy.
J Clin Neurosci. 2000 Nov; 7(6):557-60.JC

Abstract

We present a case of spontaneous haemorrhage into an empty sella turcica with the features of subclinical pituitary apoplexy. A 66-year-old woman with a previously resected pituitary adenoma presented four months later with progressive headache and visual deterioration. Cranial MRI demonstrated hyperacute blood products in a recurrent pituitary adenoma. Operative findings were of subacute blood in an empty sella turcica. There was no operative or subsequent histological evidence of tumour recurrence. The intrasellar haemorrhage was evacuated via a trans-sphenoidal approach, resulting in a rapid improvement in visual function. Endocrine deficits required thyroxine, corticosteroid and desmopressin supplementation. Haemorrhage into an empty sella turcica has not been previously described and needs to be suspected as a clinical entity in patients presenting with the features of pituitary apoplexy. Awareness of this clinical condition will prevent preoperative misdiagnosis.

Authors+Show Affiliations

Alatakis S
Department of Neurosurgery, Austin & Repatriation Medical Centre, Studley Road, Heidelberg, Victoria, 3084, Australia.
Malham GM
No affiliation info available
Fabinyi GC
No affiliation info available

MeSH

AgedEmpty Sella SyndromeFemaleHeadacheHumansIntracranial HemorrhagesPituitary ApoplexySella Turcica

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11029243

Citation

Alatakis, S, et al. "Spontaneous Haemorrhage Into an Empty Sella Turcica Mimicking Pituitary Apoplexy." Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, vol. 7, no. 6, 2000, pp. 557-60.
Alatakis S, Malham GM, Fabinyi GC. Spontaneous haemorrhage into an empty sella turcica mimicking pituitary apoplexy. J Clin Neurosci. 2000;7(6):557-60.
Alatakis, S., Malham, G. M., & Fabinyi, G. C. (2000). Spontaneous haemorrhage into an empty sella turcica mimicking pituitary apoplexy. Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 7(6), 557-60.
Alatakis S, Malham GM, Fabinyi GC. Spontaneous Haemorrhage Into an Empty Sella Turcica Mimicking Pituitary Apoplexy. J Clin Neurosci. 2000;7(6):557-60. PubMed PMID: 11029243.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous haemorrhage into an empty sella turcica mimicking pituitary apoplexy. AU - Alatakis,S, AU - Malham,G M, AU - Fabinyi,G C, PY - 2000/10/13/pubmed PY - 2001/6/2/medline PY - 2000/10/13/entrez SP - 557 EP - 60 JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci VL - 7 IS - 6 N2 - We present a case of spontaneous haemorrhage into an empty sella turcica with the features of subclinical pituitary apoplexy. A 66-year-old woman with a previously resected pituitary adenoma presented four months later with progressive headache and visual deterioration. Cranial MRI demonstrated hyperacute blood products in a recurrent pituitary adenoma. Operative findings were of subacute blood in an empty sella turcica. There was no operative or subsequent histological evidence of tumour recurrence. The intrasellar haemorrhage was evacuated via a trans-sphenoidal approach, resulting in a rapid improvement in visual function. Endocrine deficits required thyroxine, corticosteroid and desmopressin supplementation. Haemorrhage into an empty sella turcica has not been previously described and needs to be suspected as a clinical entity in patients presenting with the features of pituitary apoplexy. Awareness of this clinical condition will prevent preoperative misdiagnosis. SN - 0967-5868 UR - https://www.unboundmedicine.com/medline/citation/11029243/Spontaneous_haemorrhage_into_an_empty_sella_turcica_mimicking_pituitary_apoplexy_ DB - PRIME DP - Unbound Medicine ER -