Overview
Definition
Sudden hemorrhage or infarction of a pre-existing pituitary adenoma.
Epidemiology
Varies globally depending on genetics, environment, or exposure.
Etiology & Risk Factors
- Sudden growth of pituitary adenoma.
Clinical Symptoms
- Sudden severe headache (thunderclap)
- bitemporal hemianopsia
- cardiovascular collapse.
Clinical Approach
Diagnosis
- MRI Brain
- low ACTH/Cortisol.
Management
- Immediate high-dose Corticosteroids
- urgent neurosurgical decompression.
Complications
- Blindness
- death from adrenal crisis.