Apoplejía hipofisiaria durante el embarazo.
[Pituitary apoplexy during pregnancy]

[Apoplejía hipofisiaria durante el embarazo. [Pituitary apoplexy during pregnancy]]

A Martinz1, O Reyes2

1. Maternidad del Hospital Santo Tomás;; 2. Miembro del Sistema Nacional de Investigadores de Panamá (SNI)..

Publicado: 2020-05-30

Descargas

Resumen

La apoplejía hipofisiaria es una complicación poco frecuente, con escasos casos descritos en la literatura mundial. Su asociación con el embarazo genera dificultades diagnósticas, con secuelas a corto y largo plazo que ponen en peligro la vida de la paciente de no darse el seguimiento apropiado. Presentamos un caso de apoplejía hipofisiaria de presentación durante el embarazo y revisión de la literatura.

Palabras claves: Apoplejía hipofisiaria, hipófisis, embarazo.

Abstract

Pituitary apoplexy is a rare complication, with few cases described in the world literature. Its association with pregnancy creates diagnostic difficulties, with short- and long-term sequelae that are life threatening if not properly followed up. We present a case of pituitary apoplexy in pregnancy and a review of the literature.

Key words: Pituitary apoplexy, hypophysis, pregnancy.


Abstract

La apoplejía hipofisiaria es una complicación poco frecuente, con escasos casos descritos en la literatura mundial. Su asociación con el embarazo genera dificultades diagnósticas, con secuelas a corto y largo plazo que ponen en peligro la vida de la paciente de no darse el seguimiento apropiado. Presentamos un caso de apoplejía hipofisiaria de presentación durante el embarazo y revisión de la literatura.

Palabras claves: Apoplejía hipofisiaria, hipófisis, embarazo.

Abstract

Pituitary apoplexy is a rare complication, with few cases described in the world literature. Its association with pregnancy creates diagnostic difficulties, with short- and long-term sequelae that are life threatening if not properly followed up. We present a case of pituitary apoplexy in pregnancy and a review of the literature.

Key words: Pituitary apoplexy, hypophysis, pregnancy.

Citas

[1] Jemel M, Kandara H, Riahi M, Gharbi R, Nagi S, Kamoun I. Gestational pituitary apoplexy: Case series and review of the literature. Journal of GynecologyObstetrics and Human Reproduction, December 2019; 48(10): 873-881.

[2] Melmed S, Jameson JL (2005). "Disorders of the anterior pituitary and hypothalamus". In Kasper DL, Braunwald E, Fauci AS, et al. (eds.). Harrison's Principles of Internal Medicine (16th ed.). New York, NY: McGraw-Hill. pp. 2076–2097.

[3] Elias KA, Weiner RI. Direct arterial vascularization of estrogen-induced prolactin-secreting anterior pituitary tumors. ProcNatlAcadSci U S A, 1984; 81:4549–4553.

[4] Rigg LA, Lein A, Yen SS. Pattern of increase in circulating prolactin levels during human gestation. Am J ObstetGynecol, 1977;129:454–456

[5] Dinç H, Esen F, Demirci A, et al. Pituitary dimensions and volume measurements in pregnancy and post partum. MR assessment. Acta Radiol, 1998 Jan; 39(1):64-69

[6] Gonzalez JG, Elizondo G, Saldivar D, et al. Pituitary gland growth during normal pregnancy: an in vivo study using magnetic resonance imaging. Am J Med, 1988 Aug; 85(2):217-220.

[7] Piantanida E, Gallo D, Lombardi V, Tanda ML, Lai A, Ghezzi F et al. Pituitary apoplexy during pregnancy: a rare, but dangerous headache. J Endocrinol Invest, 2014; 37:789–797.

[8] Rajasekaran S, Vanderpump M, Baldeweg S et al (2011) UK guidelines for the management of pituitary apoplexy. Pituitaryapoplexyguidelinesdevelopmentgroup. ClinEndocrinol, May 2010; 74:9–20.

[9] Albani A, Ferraù F, Angileri FF, et al. Multidisciplinary Management of Pituitary Apoplexy. Int J Endocrinol, 2016; 2016:1-11.

[10] Sibal L, Ball SG, Connolly V, James RA, Kane P, Kelly WF et al. Pituitary apoplexy: a review of clinical presentation, management and outcome in 45 cases. Pituitary. 2004;7(3):157–163.

[11] Bills DC, Meyer FB, Laws ER, et al. A retrospective analysis of pituitary apoplexy. Neurosurgery, 1993;33(4):602–609.

[12] Onesti ST, Wisniewski T, Post KD. Clinical versus subclinical pituitary apoplexy: presentation, surgical management and outcome in 21 patients. Neurosurgery, 1990;26(6):980–986.

[13] Semple PL, Jane JA, Lopes MBS, Laws ER. Pituitary apoplexy: correlation between magnetic resonance imaging and histopathological results. J Neurosurg. 2008;108:909–915.

[14] Nawar RN, Abdel-Mannan D, Selma WR, Arafah BM. Pituitary tumor apoplexy: a review. J IntensiveCareMed, 2008; 23:75–90.

[15] deHeide LJM, van Tol KM, Doorenbos B. Pituitary apoplexy presenting during pregnancy. Neth J Med, 2008; 62:39–396.

[16] Janssen NM, Dreyer K, van der Weiden RMF. Management of pituitary tumour apoplexy with bromocriptine in pregnancy. J R SocMedShRep, 2012; 3:43.

[17] Andeva HS, Schoebel J, Byrne J, Esiri M, Adams CB, Wass JA. Classical pituitary apoplexy: clinical features, management and outcome. ClinEndocrinol, 1999;51:181-8.

[18] O’Donovan PA, O’Donovan PJ, Ritchie EH, Feely M, Jenkins DM. Apoplexy into a prolactin secreting macroadenoma during early pregnancy with successful outcome: case report. Br JObstetGynaecol, 1986; 93:389–391.

×