Pituitary apoplexy history and symptoms: Difference between revisions
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Symptoms usually include: | Symptoms usually include: | ||
*Severe headache | *Severe [[headache]] | ||
*Paralysis of the eye muscles, causing double vision (ophthalmoplegia) | *Paralysis of the eye muscles, causing [[double vision]] ([[ophthalmoplegia]]) | ||
*Low blood pressure, nausea, and vomiting from acute adrenal insufficiency | *[[Low blood pressure]], nausea, and [[vomiting]] from acute [[adrenal insufficiency]] | ||
Less commonly, pituitary dysfunction may appear more slowly. In Sheehan syndrome, for example, the first symptom may be a failure to produce milk caused by a lack of the hormone prolactin. | Less commonly, pituitary dysfunction may appear more slowly. In Sheehan syndrome, for example, the first symptom may be a failure to produce milk caused by a lack of the hormone prolactin. | ||
Revision as of 18:13, 19 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
History
Symptoms
Pituitary infarction usually has a short period of symptoms (acute), but it can be life-threatening.
Symptoms usually include:
- Severe headache
- Paralysis of the eye muscles, causing double vision (ophthalmoplegia)
- Low blood pressure, nausea, and vomiting from acute adrenal insufficiency
Less commonly, pituitary dysfunction may appear more slowly. In Sheehan syndrome, for example, the first symptom may be a failure to produce milk caused by a lack of the hormone prolactin.
Over time, problems with other pituitary hormones may develop, causing symptoms of the following conditions:
- Growth hormone deficiency
- Fatigue
- Increased fat in the abdomen
- Lack of energy
- Hypoadrenalism (if not already present or treated)
- Inability to deal with physical stress
- Nausea
- Hypogonadism
- Absent periods (amenorrhea) in women
- Sexual dysfunction and loss of muscle mass in men
- Hypothyroidism
- Cold intolerance
- Constipation
- Depressed mood
- Dry skin
- Hair or skin changes
- Hoarseness
- Menstrual changes
- Mental slowing
- Weight gain
When the posterior pituitary is involved (rare), symptoms may include:
- Failure of the uterus to contract as needed to give birth to a baby (in women)
- Failure to produce breast milk (in women)
- Uncontrolled urination