Pituitary apoplexy: a rare cause of middle cerebral artery infarction

• Main Authors: Hassan, Radhiana, Sharis Osman, Syazarina, Mohamed Mukari, Shahizon Azura, Abu Bakar, Azizi
• Format: Article
• Language: English
• Published: Malaysian Medical Associations 2013
• Subjects: R Medicine (General)
• Online Access: http://irep.iium.edu.my/30826/1/pituitary-apoplexy.pdf; http://irep.iium.edu.my/30826/; http://www.e-mjm.org/2013/v68n3/pituitary-apoplexy.pdf
• Institution: Universiti Islam Antarabangsa Malaysia

Pituitary apoplexy is a well-known complication of a pituitary adenoma. However, an ischaemic event caused by pituitary apoplexy is rare. We reported a case of pituitary apoplexy with middle cerebral artery infarction in a 44-year old man who presented with a sudden onset of altered sensorium. Vasospasm is the most likely underlying cause of the infarction in this case secondary to transdiaphragmatic rupture of the sella tumour into the subarachnoid space.