A Case of Spontaneous Resolution of Pituitary Apoplexy

Korean Journal of Head & Neck Oncology 2001;17(1):63-65.
Published online May 30, 2001.

Byoung Soo Shin;Byeung Yong Lee;Young Hyun Kim

자연 관해된 하수체 졸중 1례

신병수;이병용;김영현

Abstract

Pituitary apoplexy resulting from hemorrhage or necrosis of a pituitary tumor with subsequent compression of the optic nerves and cavernous sinuses is a life-threatening condition. The diagnosis is made clinically by the sudden onset of headache, meningismus, visual impairment, and ocular abnormalities, Modern surgical techniques seem to have reduced morbidity. Nevertheless, it is evident that not every patient requires surgical decompression after pituitary apoplexy because of spontaneous resolution after hormonal replacement therapy. We report an 84-year-old man who had pituitary apoplexy presenting with headache, ptosis and eyelid swelling. A good result has been achieved with immediate replacement of steroid.

Key Words: Pituitary apoplexy, Spontaneous resolution