Pituitary apoplexy natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Complications
Complications of untreated pituitary apoplexy can include;
- Adrenal crisis
- Vision loss and optic neuritis
- Diplopia
- Ptosis
- Increased intracranial pressure
- Hypothyroidism
- Hypogonadism
- Growth hormone deficiency
Prognosis
Acute pituitary apoplexy can be life-threatening. Emergent application of medical and surgical treatment is associated with greater improvement in visual field defects, visual acuity, and diplopia.[1] The outlook is good for people who have chronic hormone deficiency that is diagnosed and treated.[2] Patients require hormone(s) replacement therapy for life.
References
- ↑ Murad-Kejbou S, Eggenberger E (2009). "Pituitary apoplexy: evaluation, management, and prognosis". Curr Opin Ophthalmol. 20 (6): 456–61. doi:10.1097/ICU.0b013e3283319061. PMID 19809320.
- ↑ Xiao D, Wang S, Huang Y, Zhao L, Wei L, Ding C (2015). "Clinical analysis of infarction in pituitary adenoma". Int J Clin Exp Med. 8 (5): 7477–86. PMC 4509236. PMID 26221291.