A Case of Pituitary Apoplexy Approving with Oculomotor Palsy and Dizziness
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- MARUTANI Akiko
- Department of Neurosurgery, Minami-nara Medical Center
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- MASUI Katsuya
- Department of Neurosurgery, Minami-nara Medical Center
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- ISHIDA Yasuhito
- Department of Neurosurgery, Minami-nara Medical Center
Bibliographic Information
- Other Title
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- 動眼神経麻痺で発症した下垂体卒中の1例
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Abstract
<p>Pituitary apoplexy is the sudden loss of the pituitary gland’s blood supply, leading to tissue necrosis and hemorrhage. Its clinical symptoms are characterized by sudden onset of headache, nausea, vomiting, ophthalmic symptoms, and hormonal dysfunction. A 75-year-old woman presented with headache and oculomotor palsy. Pituitary swelling with T1 high intensity on brain magnetic resonance imaging suggested pituitary apoplexy. Considering a significant decrease in pituitary anterior lobe hormone as well as central diabetes insipidus, high-dose hydrocortisone was administered. The patient underwent transsphenoidal surgery. Postoperatively, oculomotor nerve palsy improved. Early diagnosis and treatment, including surgical decompression, are crucial in patients with oculomotor nerve palsy in pituitary apoplexy.</p>
Journal
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- Surgery for Cerebral Stroke
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Surgery for Cerebral Stroke 51 (5), 433-437, 2023
The Japanese Society on Surgery for Cerebral Stroke
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Details 詳細情報について
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- CRID
- 1390579145083880960
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- ISSN
- 18804683
- 09145508
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed