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Titolo:
Pituitary apoplexy
Autore:
Vella, A; Young, WF;
Indirizzi:
Mayo Clin & Mayo Fdn, Div Endocrinol Metab & Nutr & Internal Med, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn Rochester MN USA 55905 Med, Rochester, MN 55905 USA
Titolo Testata:
ENDOCRINOLOGIST
fascicolo: 4, volume: 11, anno: 2001,
pagine: 282 - 288
SICI:
1051-2144(200107/08)11:4<282:PA>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
GONADOTROPIN-RELEASING-HORMONE; ANTERIOR-PITUITARY; BYPASS-SURGERY; HEMORRHAGE; ADENOMA; MANAGEMENT; THERAPY; ADENOCARCINOMA; METASTASIS; CLOMIPHENE;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
61
Recensione:
Indirizzi per estratti:
Indirizzo: Young, WF Mayo Clin & Mayo Fdn, Div Endocrinol Metab & Nutr & Internal Med, 200 1st St SW, Rochester, MN 55905 USA Mayo Clin & Mayo Fdn 200 1st St SWRochester MN USA 55905 05 USA
Citazione:
A. Vella e W.F. Young, "Pituitary apoplexy", ENDOCRINOLO, 11(4), 2001, pp. 282-288

Abstract

Although pituitary apoplexy is uncommon, it is an endocrine emergency thatdemands prompt diagnosis and treatment. It arises during hemorrhagic necrosis in a pituitary tumor with accompanying severe headache, local compressive symptoms, and, usually, loss of endocrine function. Although no consensus exists about appropriate management, certain guidelines apply to all cases of pituitary apoplexy. Secondary adrenal insufficiency and visual field compromise must be excluded and, if present, treated appropriately. Neurosurgical consultation should be sought early in every case. However, there is no consensus about the use of conservative therapy vs. surgical decompression in pituitary apoplexy, and this issue merits a prospective study. Meanwhile, the management of pituitary apoplexy should be individualized and the approach modified depending on the neurosurgical expertise available and the degree to which endocrine function and vision are compromised.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 04:41:09