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[Acute parasellar compression syndrome disclosing hypophyseal adenoma. 3 cases].
Ann Med Interne (Paris). 1985; 136(8):634-9.AM

Abstract

Three cases of acute necrosis of a hypophyseal adenoma are reported with a review of the medical literature. The clinical presentation as an acute parasellar compression syndrome was the result of aseptic meningitis in 2 cases and of cavernous sinus thrombosis in the other; the usual symptoms of headaches, oculomotor paralysis and impairment of consciousness were observed. The diagnosis was suspected on clinical grounds, by the radiological changes of the pituitary fossa and confirmed by computerised axial tomography. All three patients had a favourable outcome. Surgery was only required in one case with threatening visual complications. Dissociated anterior pituitary deficiency persisted in all cases; two patients also had diabetes insipidus. In one case, the pituitary necrosis stabilised an acromegaly for a two year period.

Authors

Aumaitre O
No affiliation info available
Cellerier P
No affiliation info available
Abrieu V
No affiliation info available
Devoize JL
No affiliation info available
Thieblot P
No affiliation info available
Georget AM
No affiliation info available
Dordain G
No affiliation info available

MeSH

AdenomaAdultAgedFemaleHumansMaleNecrosisPituitary DiseasesPituitary NeoplasmsPrognosisTime Factors

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

3833009

Citation

Aumaitre, O, et al. "[Acute Parasellar Compression Syndrome Disclosing Hypophyseal Adenoma. 3 Cases]." Annales De Medecine Interne, vol. 136, no. 8, 1985, pp. 634-9.
Aumaitre O, Cellerier P, Abrieu V, et al. [Acute parasellar compression syndrome disclosing hypophyseal adenoma. 3 cases]. Ann Med Interne (Paris). 1985;136(8):634-9.
Aumaitre, O., Cellerier, P., Abrieu, V., Devoize, J. L., Thieblot, P., Georget, A. M., & Dordain, G. (1985). [Acute parasellar compression syndrome disclosing hypophyseal adenoma. 3 cases]. Annales De Medecine Interne, 136(8), 634-9.
Aumaitre O, et al. [Acute Parasellar Compression Syndrome Disclosing Hypophyseal Adenoma. 3 Cases]. Ann Med Interne (Paris). 1985;136(8):634-9. PubMed PMID: 3833009.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Acute parasellar compression syndrome disclosing hypophyseal adenoma. 3 cases]. AU - Aumaitre,O, AU - Cellerier,P, AU - Abrieu,V, AU - Devoize,J L, AU - Thieblot,P, AU - Georget,A M, AU - Dordain,G, PY - 1985/1/1/pubmed PY - 1985/1/1/medline PY - 1985/1/1/entrez SP - 634 EP - 9 JF - Annales de medecine interne JO - Ann Med Interne (Paris) VL - 136 IS - 8 N2 - Three cases of acute necrosis of a hypophyseal adenoma are reported with a review of the medical literature. The clinical presentation as an acute parasellar compression syndrome was the result of aseptic meningitis in 2 cases and of cavernous sinus thrombosis in the other; the usual symptoms of headaches, oculomotor paralysis and impairment of consciousness were observed. The diagnosis was suspected on clinical grounds, by the radiological changes of the pituitary fossa and confirmed by computerised axial tomography. All three patients had a favourable outcome. Surgery was only required in one case with threatening visual complications. Dissociated anterior pituitary deficiency persisted in all cases; two patients also had diabetes insipidus. In one case, the pituitary necrosis stabilised an acromegaly for a two year period. SN - 0003-410X UR - https://www.unboundmedicine.com/medline/citation/3833009/[Acute_parasellar_compression_syndrome_disclosing_hypophyseal_adenoma__3_cases]_ DB - PRIME DP - Unbound Medicine ER -