Pituitary apoplexy causes: Difference between revisions
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{{Pituitary apoplexy}} | {{Pituitary apoplexy}} | ||
{{CMG}}; {{AE}}{{Akshun}} | |||
{{CMG}} | |||
==Overview== | ==Overview== | ||
Pituitary [[apoplexy]] is most commonly caused by [[bleeding]] into the pituitary from a noncancerous [[tumor]] of the [[pituitary]]. When this bleeding occurs in a woman during or immediately after childbirth, it is called [[Sheehan syndrome]]. | Pituitary [[apoplexy]] is most commonly caused by [[bleeding]] into the pituitary from a noncancerous [[tumor]] of the [[pituitary]]. When this bleeding occurs in a woman during or immediately after childbirth, it is called [[Sheehan syndrome]]. | ||
==Common causes== | |||
*The most common cause of pituitary apoplexy is pituitary adenoma (a benign tumor of pituitary gland). | |||
*Coagulopathy, antiplatelet and thrombylytic therapy.<ref name="BaruahRanabir2011">{{cite journal|last1=Baruah|first1=ManashP|last2=Ranabir|first2=Salam|title=Pituitary apoplexy|journal=Indian Journal of Endocrinology and Metabolism|volume=15|issue=7|year=2011|pages=188|issn=2230-8210|doi=10.4103/2230-8210.84862}}</ref> | |||
*Surgery predisposing to hypotension. Any major surgery such as cardiovascular, abdominal or pelvic sugery may lead to significant blood loss and subsequent hypotension. | |||
*Systemic hypertension<ref name="pmid21044119">{{cite journal |vauthors=Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J |title=UK guidelines for the management of pituitary apoplexy |journal=Clin. Endocrinol. (Oxf) |volume=74 |issue=1 |pages=9–20 |year=2011 |pmid=21044119 |doi=10.1111/j.1365-2265.2010.03913.x |url=}}</ref> | |||
*Drugs: Dopamine receptor agonist, chlorpromazine, GnRH agonist and clomiphene. | |||
*Estrogen therapy, pregnancy and post partum | |||
*Head injury | |||
*Radiation therapy | |||
*Hormonal stimulation of pituitary | |||
*Pituitary surgery | |||
==References== | ==References== | ||
Revision as of 18:38, 26 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Pituitary apoplexy is most commonly caused by bleeding into the pituitary from a noncancerous tumor of the pituitary. When this bleeding occurs in a woman during or immediately after childbirth, it is called Sheehan syndrome.
Common causes
- The most common cause of pituitary apoplexy is pituitary adenoma (a benign tumor of pituitary gland).
- Coagulopathy, antiplatelet and thrombylytic therapy.[1]
- Surgery predisposing to hypotension. Any major surgery such as cardiovascular, abdominal or pelvic sugery may lead to significant blood loss and subsequent hypotension.
- Systemic hypertension[2]
- Drugs: Dopamine receptor agonist, chlorpromazine, GnRH agonist and clomiphene.
- Estrogen therapy, pregnancy and post partum
- Head injury
- Radiation therapy
- Hormonal stimulation of pituitary
- Pituitary surgery
References
- ↑ Baruah, ManashP; Ranabir, Salam (2011). "Pituitary apoplexy". Indian Journal of Endocrinology and Metabolism. 15 (7): 188. doi:10.4103/2230-8210.84862. ISSN 2230-8210.
- ↑ Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J (2011). "UK guidelines for the management of pituitary apoplexy". Clin. Endocrinol. (Oxf). 74 (1): 9–20. doi:10.1111/j.1365-2265.2010.03913.x. PMID 21044119.