Acta clinica Croatica, Vol. 57. No. 4., 2018.
Ostalo
https://doi.org/10.20471/acc.2018.57.04.20
Ischemic Pituitary Apoplexy, Hypopituitarism and Diabetes Insipidus: a Triad Unique to Necrotizing Hypophysitis
Miroslav Ćaćić
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Jelena Marinković
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Ivan Kruljac
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Božidar Perić
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Vatroslav Čerina
; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Darko Stipić
; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Leo Pažanin
; Ljudevit Jurak Department of Pathology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Hrvoje Ivan Pećina
; Department of Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Milan Vrkljan
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Sažetak
A rare case of necrotizing hypophysitis (NH) in a 52-year-old man presenting with pituitary apoplexy and sterile meningitis is described. This case indicates that the diagnosis of NH could be made without biopsy, based on concomitant presence of diabetes insipidus, hypopituitarism and radiologic features of ischemic pituitary apoplexy. Conservative management of pituitary apoplexy should be advised in NH. Additionally, this is the first report of a case of sterile meningitis caused by ischemic pituitary apoplexy.
Ključne riječi
Stroke; Diabetes insipidus; Hypopituitarism; Hypophysitis; Pituitary apoplexy; Meningitis
Hrčak ID:
217850
URI
Datum izdavanja:
1.12.2018.
Posjeta: 2.443 *