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Vol. 27. Issue 6.
Pages 310-314 (November - December 2016)
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Vol. 27. Issue 6.
Pages 310-314 (November - December 2016)
Caso clínico
Infarto cerebral tras apoplejía pituitaria: descripción de un caso y revisión de la literatura
Cerebral infarction after pituitary apoplexy: Description of a case and review of the literature
Ramón Serramito García
Corresponding author
ramonserramito@hotmail.com

Autor para correspondencia.
, José María Santín Amo, Paula Román Pena, Lara Pita Buezas, Lara González Gómez, Alfredo García Allut
Servicio de Neurocirugía, Hospital Clínico de Santiago de Compostela, Santiago de Compostela, España
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Tabla 1. Casos de isquemia cerebral tras apoplejía pituitaria
Resumen

La apoplejía pituitaria es normalmente el resultado de un infarto hemorrágico que acontece a un adenoma hipofisario. La presentación clínica comprende un espectro muy amplio e incluye desde casos asintomáticos, el cuadro clínico clásico e incluso muerte súbita. La isquemia cerebral tras una apoplejía pituitaria ocurre muy raras veces. Se postulan como mecanismos etiopatogénicos el vasoespasmo y/o la compresión vascular arterial provocada por el propio tumor. En el presente artículo describimos un caso de apoplejía pituitaria asociada a infarto cerebral y discutimos la relación entre ambos eventos.

Palabras clave:
Apoplejía pituitaria
Infarto cerebral
Vasoespasmo
Compresión
Abstract

Pituitary apoplexy is usually the result of hemorrhagic infarction in a pituitary adenoma. The clinical presentation varies widely and includes asymptomatic cases, classical pituitary apoplexy and even sudden death. Cerebral ischemia due to pituitary apoplexy is very rare. It may be caused by vasospasm or direct compression of cerebral vessels by the tumor. We report a case of pituitary apoplexy associated with cerebral infarction and discuss the relationship between the two events.

Keywords:
Pituitary apoplexy
Cerebral infarction
Vasospasm
Compression

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