Pituitary Apoplexy After Joint Arthroplasty

Abstract Pituitary apoplexy is a rare but potentially life-threatening condition caused by the sudden enlargement of a pituitary adenoma secondary to infarction and hemorrhage. The clinical syndrome is characterized by sudden onset of headache, ocular palsies, visual disturbances, and altered state...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2009-08, Vol.24 (5), p.826.e7-826.e10
Main Authors: Goel, Vivek, MRCS, MS (Orth), Debnath, Ujjwal K., FRCS, MS (Orth), Singh, Jagmohan, FRCS, Brydon, Howard L., FRCS
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement
Humans
joint arthroplasty
Male
Middle Aged
Orthopedics
Osteoarthritis - surgery
pituitary apoplexy
Pituitary Apoplexy - diagnosis
Pituitary Apoplexy - etiology
Pituitary Apoplexy - surgery
Pituitary Neoplasms - complications
Pituitary Neoplasms - diagnosis
Pituitary Neoplasms - surgery
Postoperative Complications
total knee arthroplasty
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Pituitary apoplexy is a rare but potentially life-threatening condition caused by the sudden enlargement of a pituitary adenoma secondary to infarction and hemorrhage. The clinical syndrome is characterized by sudden onset of headache, ocular palsies, visual disturbances, and altered state of consciousness. We report 2 patients who had postoperative pituitary apoplexy after total hip and total knee arthroplasty. Asymptomatic pituitary adenomas are difficult to diagnose preoperatively. Its existence is an unlikely suspect until the clinical symptoms develop after surgery. This is the first reported case following total hip athroplasty.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2008.06.021