• E-ISSN 2583-0104
  • Follow us

International Journal of Preclinical and Clinical Research

Article

International Journal of Preclinical and Clinical Research

Year: 2023, Volume: 3, Issue: 4, Pages: 95-96

Case Report

Pituitary Apoplexy Secondary to Thrombocytopenia due to Dengue Hemorrhagic Fever: A Rare Case Report

Received Date:21 December 2022, Accepted Date:05 January 2023, Published Date:09 January 2023

Abstract

Pituitary apoplexy (PA) is an acute clinical syndrome characterized by sudden-onset headache, vomiting, visual disturbances, altered sensorium, and ophthalmoplegia, secondary to hemorrhage or infarction within a pituitary tumor or non-tumorous pituitary gland. A 45-year-old Female presented with generalised weakness, Seizures, fever and headache. Thrombocytopenia due to various causes may be a predisposing factor for pituitary apoplexy in a patient with underlying pituitary disease. We describe dengue as a probable novel condition for pituitary apoplexy because it may be associated with multiple risk factors for pituitary infarction or bleeding

 

Keywords: Pitutary apoplexy, Dengue hemorrhagic fever, Thrombocytopenia

References

  1. Möller-Goede DL, Brändle M, Landau K, Bernays RL, Schmid C. Pituitary apoplexy: re-evaluation of risk factors for bleeding into pituitary adenomas and impact on outcome. European Journal of Endocrinology. 2011;164(1):37–43. Available from: https://doi.org/10.1530/eje-10-0651
  2. Semple PL, Webb MK, Villiers JCD, Laws ER. Pituitary Apoplexy. Neurosurgery. 2005;56(1):65–73. Available from: https://doi.org/10.1227/01.neu.0000144840.55247.38
  3. Arafah BM, Taylor HC, Salazar R, Saadi H, Selman WR. Apoplexy of a pituitary adenoma after dynamic testing with gonadotropin-releasing hormone. The American Journal of Medicine. 1989;87(1):103–105. Available from: https://doi.org/10.1016/s0002-9343(89)80494-2
  4. Biousse V, Newman NJ, Oyesiku NM. Precipitating factors in pituitary apoplexy. Journal of Neurology, Neurosurgery & Psychiatry. 2001;71(4):542–545. Available from: https://doi.org/10.1136/jnnp.71.4.542
  5. Simmons CP, Farrar JJ, Nguyen vVC, Wills B. Dengue. N Engl J Med. 2012;366:1423–1455. Available from: https://doi.org/10.1056/nejmra1110265
  6. Beltrame S, Toscano M, Goldschmidt E, Garategui L, Campero A, Yampolsky C, et al. Endoscopic treatment of 140 pituitary tumors, results and complications. Neurocirugía (English Edition). 2017;28(2):67–74. Available from: https://doi.org/10.1016/j.neucir.2016.06.005
  7. Albani A, Ferraù F, Angileri FF, Esposito F, Granata F, Ferreri F, et al. Multidisciplinary Management of Pituitary Apoplexy. International Journal of Endocrinology. 2016;2016:1–11. Available from: https://doi.org/10.1155%2F2016%2F7951536
  8. Briet C, Salenave S, Bonneville JF, Laws ER. Chanson P: Pituitary apoplexy. Endocr Rev. 2015;36:622–645. Available from: https://doi.org/10.1210/er.2015-1042

Copyright

© 2022 Shubham & Kumar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published By Basaveshwara Medical College & Hospital, Chitradurga, Karnataka

 

DON'T MISS OUT!

Subscribe now for latest articles and news.