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DOI: 10.1055/s-0041-1733947
Pituitary Apoplexy, Meningitis and Cerebral Infarction - A Perplexing Trifecta
Apoplexia hipofisária, meningite e infarto cerebral – um trifecta desconcertanteAuthors
Abstract
Pituitary apoplexy (PA) is a clinical diagnosis comprising a sudden onset of headache, neurological deficits, endocrine disturbances, altered consciousness, visual loss, or ophthalmoplegia. However, clinically, the presentation of PA is extremely variable and occasionally fatal. While meningitis and cerebral infarcts are themselves serious diseases, they are rarely seen as manifestations of PA and are exceedingly rare when present together.
We present the case of a 20-year-old male with a rapid progression of symptoms of meningitis, PA and stroke. The present article seeks to emphasize a rare manifestation of PA with an attempt to understand the intricacies of its evaluation and management.
Resumo
A apoplexia hipofisária (AP) é um diagnóstico clínico que compreende um início súbito de dor de cabeça, déficits neurológicos, distúrbios endócrinos, alteração da consciência, perda de visão ou oftalmoplegia. No entanto, clinicamente, a apresentação de PA é extremamente variável e ocasionalmente fatal. Embora a meningite e os infartos cerebrais sejam eles próprios graves doenças, eles raramente são vistos como manifestações de PA e são extremamente raros quando presentes juntos.
Apresentamos o caso de um homem de 20 anos com uma rápida progressão dos sintomas de meningite, PA e acidente vascular cerebral. O presente artigo busca enfatizar uma manifestação rara. da AP na tentativa de compreender as complexidades de sua avaliação e manejo.
Disclosure
The authors certify that the present work is genuine, original, and has not submitted anywhere, either in part or in full. They also declare that they have no financial or nonfinancial competing interests.
Publikationsverlauf
Eingereicht: 11. Dezember 2020
Angenommen: 16. Juni 2021
Artikel online veröffentlicht:
03. August 2021
© 2021. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
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