Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : May | Volume : 11 | Issue : 5 | Page : OD03 - OD05

Acute Ischaemic Stroke as a Manifestation of Pituitary Apoplexy in a Young Lady

Shaik Afsar Pasha, Laxmi Narasimhan Ranganthan, Vamsi Krishna Setty, Ramakrishna Reddy, Deepika Ananda Ponnuru

1. Associate Professor, Department of Neurology, NRI Medical College and General Hospital, Chinakakani, Guntur, Andhra Pradesh, India. 2. Professor, Department of Neurology, Institute of Neurology, Madras Medical College, Chennai, India. 3. Assistant Professor, Department of Radiology, NRI Medical College and General Hospital, Chinakakani, Guntur, Andhra Pradesh, India. 4. Professor, Department of Neurosurgery, NRI Medical College and General Hospital, Chinakakani, Guntur, Andhra Pradesh, India. 5. Postgraduate, Department of Medicine, NRI Medical College and General Hospital, Chinakakani, Guntur, Andhra Pradesh, India.

Correspondence Address :
Dr. Shaik Afsar Pasha,
Department of Neurology, NRI Medical college and General Hospital Chinakakani, Guntur, Andhrapradesh-522503, India.
E-mail: afsarpasha81@gmail.com

Abstract

Pituitary Apoplexy (PA) is defined as a clinical syndrome comprising headache, visual deficits and altered sensorium, which can result from haemorrhage or infarction of the pituitary gland. Acute ischaemic stroke following PA is very rare. We are presenting a 35-year-old young otherwise healthy lady who presented with neuro ophthalmological and vascular symptoms on a background of PA. Imaging revealed a pituitary macro adenoma with parasellar extension with internal bleed. Cerebral angiography revealed that the mass compressed the bilateral cavernous sinuses (left more than right), resulting in obliteration of the cavernous portion of the left Internal Carotid Artery (ICA). She was treated with steroids and surgical debulking of the tumour through trans-sphenoidal approach and postoperative imaging showed recanalization of the ICA with reduction of the tumour size. The histopathological diagnosis was consistent with pituitary macro adenoma. Patient improved in level of sensorium, eye movement and the patient showed almost full recovery after the operation. PA resulting in ICA occlusion is very rare. Early intervention is required for reducing mortality and morbidity and to improve quality of life.

Keywords

Haemiplegia, Internal carotid artery, Pituitary haemorrhage, Visual failure

How to cite this article :

Shaik Afsar Pasha, Laxmi Narasimhan Ranganthan, Vamsi Krishna Setty, Ramakrishna Reddy, Deepika Ananda Ponnuru. ACUTE ISCHAEMIC STROKE AS A MANIFESTATION OF PITUITARY APOPLEXY IN A YOUNG LADY. Journal of Clinical and Diagnostic Research [serial online] 2017 May [cited: 2017 Jun 28 ]; 11:OD03-OD05. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=May&volume=11&issue=5&page=OD03-OD05&id=9782

DOI and Others

DOI: 10.7860/JCDR/2017/25046.9782


Date of Submission: Oct 25, 2016
Date of Peer Review: Nov 23, 2016
Date of Acceptance: Dec 28, 2016
Date of Publishing: May 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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