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Pituitary apoplexy

MedGen UID:
18489
Concept ID:
C0032001
Disease or Syndrome
Synonyms: Apoplexy, Pituitary; Pituitary Apoplexy
SNOMED CT: Pituitary apoplexy (237701005)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
Monarch Initiative: MONDO:0006908
Orphanet: ORPHA95613

Definition

A rare pituitary disease characterized by hemorrhagic or non-hemorrhagic necrosis of the pituitary gland. Clinical manifestations typically comprise sudden and severe headache (often with nausea and vomiting), visual disturbances (visual-field defects, loss of visual acuity), oculomotor palsies, and variable degrees of altered consciousness, ranging from lethargy to coma. Acute endocrine dysfunction may also be present, most commonly corticotropic deficiency with severe hypotension and hyponatremia as well as secondary adrenal failure, but also thyrotropic and gonadotropic deficiency. [from ORDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPituitary apoplexy
Follow this link to review classifications for Pituitary apoplexy in Orphanet.

Professional guidelines

PubMed

Wang L, Long S, Zhou Q
J Neurosurg 2022 Jun 1;136(6):1812. Epub 2022 Feb 4 doi: 10.3171/2021.12.JNS212772. PMID: 35120330
Chanson P, Raverot G, Castinetti F, Cortet-Rudelli C, Galland F, Salenave S; French Endocrinology Society non-functioning pituitary adenoma work-group
Ann Endocrinol (Paris) 2015 Jul;76(3):239-47. Epub 2015 Jun 10 doi: 10.1016/j.ando.2015.04.002. PMID: 26072284
Freda PU, Beckers AM, Katznelson L, Molitch ME, Montori VM, Post KD, Vance ML; Endocrine Society
J Clin Endocrinol Metab 2011 Apr;96(4):894-904. doi: 10.1210/jc.2010-1048. PMID: 21474686Free PMC Article

Recent clinical studies

Etiology

Muthukumar N
Neurol India 2020 May-Jun;68(Supplement):S72-S78. doi: 10.4103/0028-3886.287669. PMID: 32611895
Briet C, Salenave S, Bonneville JF, Laws ER, Chanson P
Endocr Rev 2015 Dec;36(6):622-45. Epub 2015 Sep 28 doi: 10.1210/er.2015-1042. PMID: 26414232
Chanson P, Raverot G, Castinetti F, Cortet-Rudelli C, Galland F, Salenave S; French Endocrinology Society non-functioning pituitary adenoma work-group
Ann Endocrinol (Paris) 2015 Jul;76(3):239-47. Epub 2015 Jun 10 doi: 10.1016/j.ando.2015.04.002. PMID: 26072284
Bi WL, Dunn IF, Laws ER Jr
Endocrine 2015 Feb;48(1):69-75. Epub 2014 Jul 26 doi: 10.1007/s12020-014-0359-y. PMID: 25063308
Freda PU, Beckers AM, Katznelson L, Molitch ME, Montori VM, Post KD, Vance ML; Endocrine Society
J Clin Endocrinol Metab 2011 Apr;96(4):894-904. doi: 10.1210/jc.2010-1048. PMID: 21474686Free PMC Article

Diagnosis

Bashir M, Jensen RM, Havsteen IB
BMJ Case Rep 2024 Aug 22;17(8) doi: 10.1136/bcr-2024-261060. PMID: 39179260
Hong CS, Omay SB
N Engl J Med 2022 Dec 22;387(25):2366. Epub 2022 Dec 17 doi: 10.1056/NEJMicm2204942. PMID: 36547664
Barkhoudarian G, Kelly DF
Neurosurg Clin N Am 2019 Oct;30(4):457-463. Epub 2019 Aug 7 doi: 10.1016/j.nec.2019.06.001. PMID: 31471052
Yamada D, Fujikawa T
CMAJ 2018 Dec 3;190(48):E1419. doi: 10.1503/cmaj.180658. PMID: 30510048Free PMC Article
Briet C, Salenave S, Bonneville JF, Laws ER, Chanson P
Endocr Rev 2015 Dec;36(6):622-45. Epub 2015 Sep 28 doi: 10.1210/er.2015-1042. PMID: 26414232

Therapy

Donoho DA, Laws ER Jr
Neurosurg Clin N Am 2019 Oct;30(4):509-514. Epub 2019 Jul 2 doi: 10.1016/j.nec.2019.05.010. PMID: 31471058
Yamada D, Fujikawa T
CMAJ 2018 Dec 3;190(48):E1419. doi: 10.1503/cmaj.180658. PMID: 30510048Free PMC Article
Briet C, Salenave S, Bonneville JF, Laws ER, Chanson P
Endocr Rev 2015 Dec;36(6):622-45. Epub 2015 Sep 28 doi: 10.1210/er.2015-1042. PMID: 26414232
Jan M, Dufour H, Brue T, Jaquet P
Ann Endocrinol (Paris) 2007 Jun;68(2-3):118-9. Epub 2007 May 21 doi: 10.1016/j.ando.2007.03.011. PMID: 17512893
Cryer RJ, Ferriman D
Proc R Soc Med 1971 Mar;64(3):301-2. PMID: 5551489Free PMC Article

Prognosis

Suri H, Dougherty C
Curr Pain Headache Rep 2019 Jul 29;23(9):61. doi: 10.1007/s11916-019-0798-5. PMID: 31359174
Dilli E
Curr Neurol Neurosci Rep 2014 Apr;14(4):437. doi: 10.1007/s11910-014-0437-9. PMID: 24643327
Block HS, Biller J
Handb Clin Neurol 2014;121:1595-622. doi: 10.1016/B978-0-7020-4088-7.00105-X. PMID: 24365437
Bevan JS
Clin Med (Lond) 2013 Jun;13(3):296-8. doi: 10.7861/clinmedicine.13-3-296. PMID: 23760707Free PMC Article
Freda PU, Beckers AM, Katznelson L, Molitch ME, Montori VM, Post KD, Vance ML; Endocrine Society
J Clin Endocrinol Metab 2011 Apr;96(4):894-904. doi: 10.1210/jc.2010-1048. PMID: 21474686Free PMC Article

Clinical prediction guides

Chanson P, Wolf P
Presse Med 2021 Dec;50(4):104086. Epub 2021 Oct 28 doi: 10.1016/j.lpm.2021.104086. PMID: 34718111
Suri H, Dougherty C
Curr Pain Headache Rep 2019 Jul 29;23(9):61. doi: 10.1007/s11916-019-0798-5. PMID: 31359174
Solinas C, Porcu M, De Silva P, Musi M, Aspeslagh S, Scartozzi M, Willard-Gallo K, Mariotti S, Saba L
Semin Oncol 2018 Jun;45(3):181-186. Epub 2018 Oct 21 doi: 10.1053/j.seminoncol.2018.09.002. PMID: 30352754
Bevan JS
Clin Med (Lond) 2013 Jun;13(3):296-8. doi: 10.7861/clinmedicine.13-3-296. PMID: 23760707Free PMC Article
Tamhankar MA, Biousse V, Ying GS, Prasad S, Subramanian PS, Lee MS, Eggenberger E, Moss HE, Pineles S, Bennett J, Osborne B, Volpe NJ, Liu GT, Bruce BB, Newman NJ, Galetta SL, Balcer LJ
Ophthalmology 2013 Nov;120(11):2264-9. Epub 2013 Jun 6 doi: 10.1016/j.ophtha.2013.04.009. PMID: 23747163Free PMC Article

Recent systematic reviews

Kajal S, Ahmad YES, Halawi A, Gol MAK, Ashley W
Pituitary 2024 Aug;27(4):320-334. Epub 2024 Jun 27 doi: 10.1007/s11102-024-01412-0. PMID: 38935252
Ragate DC, Memon SS, Sarathi V, Lila AR, Channaiah CY, Patil VA, Karlekar M, Barnabas R, Thakkar H, Shah NS, Bandgar TR
Pituitary 2024 Aug;27(4):335-344. Epub 2024 Jun 8 doi: 10.1007/s11102-024-01411-1. PMID: 38850401
Verrienti M, Marino Picciola V, Ambrosio MR, Zatelli MC
Pituitary 2024 Dec;27(6):970-985. Epub 2024 May 18 doi: 10.1007/s11102-024-01402-2. PMID: 38761322Free PMC Article
Jiang Q, Xiao S, Shu L, Huang X, Chen X, Hong H
Eur Neurol 2020;83(2):121-130. Epub 2020 Jun 16 doi: 10.1159/000507190. PMID: 32544913
Tu M, Lu Q, Zhu P, Zheng W
J Neurol Sci 2016 Nov 15;370:258-262. Epub 2016 Sep 23 doi: 10.1016/j.jns.2016.09.047. PMID: 27772771

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