期刊
MEDICINE
卷 100, 期 10, 页码 -出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000025075
关键词
extrapontine myelinolysis; hyponatremia; pituitary tumor apoplexy; pregnancy
Pituitary tumor apoplexy is a rare but life-threatening condition that requires urgent diagnosis and treatment. Managing undiagnosed cases of pituitary tumor during pregnancy can be challenging. Regular MRI examinations are crucial for monitoring the treatment outcomes and tumor regression.
Rationale: Pituitary tumor apoplexy (PTA) is a rare clinical syndrome which requires urgent diagnosis and treatment due to its life-threatening consequences. Management of undiagnosed pituitary tumor before pregnancy is a problem during pregnancy. Patient concerns: We reported a case with PTA which was not diagnosed before pregnancy presenting with vomiting associated with hyponatremia during the third trimester. After supplying the sodium the patient presented with dysarthria and hemiplegia. Diagnoses: MRI examination showed PTA accompanied with extrapontine myelinolysis (EPM). Interventions: The patient was given hydrocortisone according to the symptoms gradually to taper off dose, at the same times oral levothyroxine therapy (25 mu g/day) was given. Outcomes: The patient delivered a healthy baby via cesarean section at hospital at 38 + 1 week of gestation. We performed MRI examination regularly and the tumor regressed significantly 8 months postpartum. Lessons: We reported a case as PTA associated with EPM. Headache during pregnancy is often nonspecific, so careful medical history inquiry is very important.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据