Original article | Volume 17, Article 211, 17 Mar 2014 | 10.11604/pamj.2014.17.211.4133

Pituitary apoplexy during pregnancy

Hakima Chegour, Nawal El Ansari

Corresponding author: Hakima Chegour, Department of Endocrinology Diabetes and Metabolic Diseases, Laboratory Pneumo cardiovascular immunopathology and Metabolism, Faculty of Medicine and Pharmacy of Marrakesh, Cadi Ayyad University, University Hospital Mohamed VI, Marrakesh, Morocco

Received: 06 Mar 2014 - Accepted: 15 Mar 2014 - Published: 17 Mar 2014

Domain: Clinical medicine

Keywords: Pituitary apoplexy, pregnancy, galactorrhea, headaches

©Hakima Chegour et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Hakima Chegour et al. Pituitary apoplexy during pregnancy. Pan African Medical Journal. 2014;17:211. [doi: 10.11604/pamj.2014.17.211.4133]

Available online at: https://www.panafrican-med-journal.com/content/article/17/211/full

Home | Volume 17 | Article number 211

Original article

Pituitary apoplexy during pregnancy

Pituitary apoplexy during pregnancy

 

Hakima Chegour1,&, Nawal El Ansari1

 

1Department of Endocrinology Diabetes and Metabolic Diseases, Laboratory Pneumo cardiovascular immunopathology and Metabolism, Faculty of Medicine and Pharmacy of Marrakesh, Cadi Ayyad University, University Hospital Mohamed VI, Marrakesh, Morocco

 

 

&Corresponding author
Hakima Chegour, Department of Endocrinology Diabetes and Metabolic Diseases, Laboratory Pneumo cardiovascular immunopathology and Metabolism, Faculty of Medicine and Pharmacy of Marrakesh, Cadi Ayyad University, University Hospital Mohamed VI, Marrakesh, Morocco

 

 

Image in medicine

The pituitary apoplexy is a rare and fatal complication of the pituitary adenoma; it represents 0.6 to 10%. This is a clinical syndrome resulting from a fulminant pituitary expansion due to a bleeding and\or a pituitary infarcissement. We report the case of a 29-year-old patient who consults for an amenorrhoea with spontaneous galactorrhea and chronic headaches evolving over 7 months. The balance sheet of the amenorrhoea discovers a hyperprolactinemia in 224ng / ml treated by Bromocriptine without étiological survey. The patient had a pregnancy, and in 19 weeks of amenorrhoea, she presents of rough installation of the rebel headaches with visual disorders (blindness of the right eye). The magnetic resonance imaging (MRI) was in favour of a stroke of the pituitary macro-adenoma (A and B). The prolactin was always brought up. The patient was treated by Cabergoline. The evolution was favorable, with complete regression of the visual disorders after one month of treatment. The MRI of control shows the total disappearance of the leaving expansive process place in an intracellair arachnoidocèle (C and D). The clinical demonstrations of the pituitaire stroke are essentially represented by the tumoral syndrome, the visual disorders and the disorders of consciousness. The MRI is the examination of choice. In the case reported radiographic appearance was typical of a pituitary apoplexy.

Figure 1: the magnetic resonance imaging (MRI) was in favour of a stroke of the pituitary macro-adenoma(A and B). The MRI of control shows the total disappearance of the leaving expansive process place in an intracellair arachnoidocèle (C and D)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Pituitary apoplexy during pregnancy

Original article

Pituitary apoplexy during pregnancy

Original article

Pituitary apoplexy during pregnancy

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Key words

Pituitary apoplexy

Pregnancy

Galactorrhea

Headaches

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