Necrosis of a hypophyseal adenoma and ischemic cerebral vascular accident
Catenoix, H.; Nighoghossian, N.; Honnorat, J.; Derex, L.; Borson-Chazot, F.; Hermier, M.; Trouillas, P.
Revue Neurologique (Paris) 158(6-7): 734-736
2002
ISSN/ISBN: 0035-3787 PMID: 12486905 Document Number: 545260
A 78-year old man developed an acute intracranial hypertension followed by central left facial palsy. CT Scan and MRI revealed an ischemia within the right lenticulostriate arteries territory and a hemorrhagic infarction of a pituitary adenoma without extrinsic carotid artery compression. Neuroophthalmologic examination and hormonal screening were normal. Though pituitary apoplexy and stroke might represent a fortuitous association, several mechanisms underlying such clinical picture are advanced.