Clinical analysis of pituitary adenomas apoplexy for ischemic infarction
Xiao Deyong
Huang Yinxing
Zhao Lin
Wei Liangfeng
Ding Chenyu
Wang Shousen
Abstract：Objective To summary the clinical features of infarcted pituitary adenoma-associated apoplexy (IPAA). Methods Clinical data of 9 IPAA patients were analyzed retrospectively. The typical clinical stroke symptoms were found in 8 patients. Preoperative high serum growth hormone level existed in 6 patients and hypopituitarism in 2. The enhanced CT or MRI scan showed heterogenous ring enhancement in 8 patients and sellar floor depression in 7. During the surgery, poor tumor blood supply was found in 7 patients, caseous or bean-dregs like tissues in 5 and few dark blood clots in 2. Results Pathological examination showed massive coagulation necrosis in all the patients, and growth hormone adenoma in 4, growth hormone+follicle stimulating hormone adenoma in 2, prolactin adenoma in 1 and non-functioning adenomas in 2. Symptoms were improved significantly and no recurrence was seen during follow-up more than 4 months. Conclusions IPAA is rare, often of typical symptoms and characteristic MRI, in which growth hormone pituitary adenomas maybe common and satisfactory recovery results from transsphenoidal surgery.
Keywords：pituitary neoplasmspituitary apoplexyischemiainfarction
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 344-347 )