On the Origins of Pituitary Apoplexy
Author(s) -
John Pearce
Publication year - 2015
Publication title -
european neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.573
H-Index - 77
eISSN - 1421-9913
pISSN - 0014-3022
DOI - 10.1159/000431090
Subject(s) - pituitary apoplexy , stupor , medicine , coma (optics) , pituitary adenoma , surgery , visual field , visual acuity , palsy , anesthesia , adenoma , ophthalmology , vomiting , pathology , physics , alternative medicine , optics
This paper sketches the early history of pituitary apoplexy, a disorder later fully described in 1950 by Brougham, Heusner and Adams. Haemorrhage or necrosis in an adenoma causes a characteristic sudden drowsiness, stupor or coma, headache and stiff neck, ocular palsy, and impaired acuity with visual field loss owing to optic nerve or chiasmal compression. The associated endocrinopathy and management are described.
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