Pituitary ischemic apoplexy in a young woman using oral contraceptives: a case report
Kobayashi, J.; Miyashita, K.; Tamanaha, T.; Kobayashi, N.; Iihara, K.; Nagatsuka, K.
Journal of Stroke and Cerebrovascular Diseases the Official Journal of National Stroke Association 22(8): E643-E644
2013
ISSN/ISBN: 1052-3057 PMID: 23635921 DOI: 10.1016/j.jstrokecerebrovasdis.2013.03.030Document Number: 573019
Estrogen is suggested to be one of the plausible risk factors for pituitary hemorrhagic apoplexy through pituitary hyperemia. We experienced a 33-year-old woman with pituitary ischemic apoplexy of a nonfunctional macroadenoma under oral contraceptive use. Our case indicates that hypercoagulable state, but not hyperemia, associated with estrogen may promote pituitary ischemic apoplexy.
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