Pituitary Apoplexy Mimicking Meningitis.
10.14791/btrt.2013.1.2.111
- Author:
Keun OH
1
;
Jang Hee KIM
;
Jin Wook CHOI
;
Jae Kyu KANG
;
Se Hyuk KIM
Author Information
1. Department of Neurosurgery, Ajou University School of Medicine, Suwon, Korea. nsksh@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Pituitary apoplexy;
Meningitis
- MeSH:
Adult;
Consciousness;
Fever;
Follow-Up Studies;
Headache;
Hemorrhage;
Humans;
Meningitis*;
Paresis;
Pituitary Apoplexy*
- From:Brain Tumor Research and Treatment
2013;1(2):111-115
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pituitary apoplexy is a rare but life-threatening disorder. Clinical presentation of this condition includes severe headaches, impaired consciousness, fever, visual disturbance, and variable ocular paresis. The clinical presentation of meningeal irritation is very rare. Nonetheless, if present and associated with fever, pituitary apoplexy may be misdiagnosed as a meningitis. We experienced a case of pituitary apoplexy masquerading as a meningitis. A 42-year-old man presented with meningitis associated symptoms and initial imaging studies did not show evidence of intra-lesional hemorrhage in the pituitary mass. However, a follow-up imaging after neurological deterioration revealed pituitary apoplexy. Hereby, we report our case with a review of literatures.
