Pituitary apoplexy causes: Difference between revisions
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*[[Systemic hypertension]]<ref name="pmid21044119">{{cite journal |vauthors=Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J |title=UK guidelines for the management of pituitary apoplexy |journal=Clin. Endocrinol. (Oxf) |volume=74 |issue=1 |pages=9–20 |year=2011 |pmid=21044119 |doi=10.1111/j.1365-2265.2010.03913.x |url=}}</ref> | *[[Systemic hypertension]]<ref name="pmid21044119">{{cite journal |vauthors=Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J |title=UK guidelines for the management of pituitary apoplexy |journal=Clin. Endocrinol. (Oxf) |volume=74 |issue=1 |pages=9–20 |year=2011 |pmid=21044119 |doi=10.1111/j.1365-2265.2010.03913.x |url=}}</ref> | ||
*Drugs | *Drugs causing pituitary apoplexy: | ||
**[[Antiplatelet agents|Antiplatelet therapy]] | **[[Antiplatelet agents|Antiplatelet therapy]] | ||
**[[Thrombolytic therapy]] | **[[Thrombolytic therapy]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Pituitary apoplexy is most commonly caused by bleeding into the pituitary gland from a noncancerous tumor of the pituitary. When this bleeding occurs in a woman during or immediately after childbirth, it is called Sheehan syndrome. Other conditions causing pituitary apoplexy are coagulopathy, major surgery, hypertension, drugs such as dopamine receptor agonist, GnRH agonist, antiplatelet and thrombolytic therapy.
Common causes
The most common cause of pituitary apoplexy is pituitary adenoma (a benign tumor of pituitary gland). Other common causes include:
- Coagulopathy[1]
- Surgery predisposing to hypotension
- Systemic hypertension[2]
- Drugs causing pituitary apoplexy:
- Pregnancy and post partum
- Hormonal stimulation of pituitary with TRH, GnRH and CRH
Less common causes
- Head injury
- Radiation therapy
- Pituitary surgery
References
- ↑ Baruah, ManashP; Ranabir, Salam (2011). "Pituitary apoplexy". Indian Journal of Endocrinology and Metabolism. 15 (7): 188. doi:10.4103/2230-8210.84862. ISSN 2230-8210.
- ↑ Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J (2011). "UK guidelines for the management of pituitary apoplexy". Clin. Endocrinol. (Oxf). 74 (1): 9–20. doi:10.1111/j.1365-2265.2010.03913.x. PMID 21044119.