Pituitary apoplexy presenting as an intraventricular hemorrhage: An infrequent neurovascular emergency
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Date
2017Author
Torrealba Acosta, Gabriel
Vargas Valenciano, Emmanuelle
Escoe Bastos, Katherine
Padilla Cuadra, Juan Ignacio
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Pituitary macroadenomas may present with a pituitary apoplexy, commonly with associated hemorrhage, but
rarely large enough to show an intraventricular bleeding. This is a case report of a 66-year-old woman with a 3-
month history of headache, hyporexia, asthenia and altered consciousness. First evaluations showed a large
intraventricular hemorrhage on CT scan that was initially misdiagnosed for an aneurysmal rupture etiology but
later confirmed to be a pituitary apoplexy from a large pituitary adenoma. Intraventricular hemorrhage due to a
pituitary apoplexy could be mistaken for an aneurysmal origin thus warranting for a careful evaluation of the
sellar region