Unveiling postpartum pituitary apoplexy through atypical presentation: A case report and review of literature

Q4 Medicine
Saleh Hamzeh MD , Fathi Milhem MD , Ameer Awashra MD , Husam Hamshary MD , Omar Almur MD , Zaid Sawaftah MD , Omar Naseef MD
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引用次数: 0

Abstract

Our case details the atypical presentation of postpartum pituitary apoplexy in a 20-year-old female, who exhibited general weakness, dizziness, and brief loss of consciousness following an uncomplicated vaginal delivery. Despite normal vital signs except for bradycardia, imaging revealed a pituitary hemorrhage, leading to the diagnosis of pituitary apoplexy. Managed conservatively with IV hydrocortisone and intensive care, the patient experienced persistent bradycardia and severe abdominal pain, requiring transfer to another ICU. This case highlights the diagnostic challenges posed by the rarity and complexity of pituitary apoplexy during pregnancy and the postpartum period, emphasizing the importance of early diagnosis and tailored treatment strategies. The discussion further contrasts this case with existing literature, particularly in the context of postpartum pituitary apoplexy, and explores the broader implications for managing such rare cases, reinforcing the viability of conservative management in the absence of visual field disturbances.
通过非典型表现揭开产后垂体性脑瘫的神秘面纱:病例报告和文献综述
我们的病例详细描述了一名 20 岁女性产后垂体性脑瘫的非典型表现,她在无并发症的阴道分娩后表现出全身乏力、头晕和短暂的意识丧失。尽管除心动过缓外生命体征正常,但影像学检查发现垂体出血,因此诊断为垂体性脑瘫。患者在接受静脉注射氢化可的松和重症监护的保守治疗后,出现持续心动过缓和剧烈腹痛,需要转到另一个重症监护病房。本病例凸显了妊娠期和产后垂体性脑瘫的罕见性和复杂性给诊断带来的挑战,强调了早期诊断和针对性治疗策略的重要性。讨论进一步将本病例与现有文献进行对比,特别是在产后垂体性脑垂体功能障碍的背景下,并探讨了处理此类罕见病例的广泛意义,加强了在没有视野障碍的情况下进行保守治疗的可行性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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