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Bilateral stroke following pituitary apoplexy

Item Type:Article
Title:Bilateral stroke following pituitary apoplexy
Creators Name:Lill, C.M., Hoch, H., Dieste, F.J., Vogel, H.P., Zipp, F. and Paul, F.
Abstract:Pituitary apoplexy followed by cerebral infarction is rare. We report a 59-year-old male with a known pituitary macroadenoma who was admitted to our emergency department for treatment of an acute myocardial infarction. He underwent coronary angioplasty and was subsequently treated with aspirin, clopidogrel and full-dose enoxaparin. He developed pituitary apoplexy with bilateral compression of both internal carotid arteries, and infarction of both anterior and middle hemispheres; consequently, he died. This patient illustrates the difficulties of administering aggressive anticoagulative and antiplatelet therapy to patients who have a known pituitary adenoma.
Keywords:Pituitary Apoplexy, Stroke, Internal Carotid Artery, Bilateral, Compression, Anticoagulation, Coronary Angiography, Coronary Angioplasty
Source:Journal of Clinical Neuroscience
Page Range:1670-1673
Date:December 2009
Official Publication:https://doi.org/10.1016/j.jocn.2009.03.011
PubMed:View item in PubMed

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