American Journal of Clinical Neurology and Neurosurgery
Articles Information
American Journal of Clinical Neurology and Neurosurgery, Vol.1, No.2, Sep. 2015, Pub. Date: Sep. 2, 2015
Pituitary Apoplexy Development During Bilateral Knee Replacement Surgery: Cause of Prolonged Altered Sensorium in the Postoperative Period
Pages: 121-125 Views: 2676 Downloads: 740
Authors
[01] Guru Dutta Satyarthee, Department of Neurosurgery, All India Institute of Medical sciences, New Delhi, India.
[02] V. S. Mehta, Paras Institute of Neurosciences, Gurgaon, India.
Abstract
Authors reports a case of pituitary apoplexy, which occurred in the incidental pituitary adenoma during bilateral knee replacement surgery. She developed right eye ptosis, headache and vomiting with alteration of sensorium in the immediate postoperative period with diminution of vision in the both eyes. Which was detected in the immediate postoperative period and CT and MRI scan showed a giant sellar-suprasellar lesion suggestive of pituitary adenoma with apoplexy. She underwent successful transsphenoidal surgery. Altered blood with necrotic pituitary adenoma was decompressed. Following surgery, her headache completely subsided, vision improved but right eye ptosis continued to persist during early follow-up period. To the best of knowledge current case is the first case in the western literature, who developed pituitary apoplexy during bilateral knee replacement surgery.
Keywords
Pituitary Apoplexy, Knee Replacement Surgery, Incidental Pituitary Adenoma, Precipitating Factors for Apoplexy
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