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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.55 no.4 São Paulo  1997

http://dx.doi.org/10.1590/S0004-282X1997000500020 

Apoplexia hipofisária intradenomatosa

 

Intra-adenomatous pituitary apoplexy

 

 

Flávio Freinkel RodriguesI; Alice Helena Dutra ViolanteII; Cesar Fantezia AndrausIII

IHospital Universitário Clementino Fraga Filho (HUCFF) da Universidade Federal do Rio de Janeiro (UFRJ): Chefe do Serviço de Neurocirurgia do HUCFF da UFRJ, Professor Adjunto Doutor de Neurocirurgia da Faculdade de Medicina da UFRJ, Coordenador do Curso de Pós-Graduação em Neurocirurgia da UFRJ
IIHospital Universitário Clementino Fraga Filho (HUCFF) da Universidade Federal do Rio de Janeiro (UFRJ): Professora Adjunta Doutora de Endocrinologia da Faculdade de Medicina da UFRJ
IIIHospital Universitário Clementino Fraga Filho (HUCFF) da Universidade Federal do Rio de Janeiro (UFRJ): Mestrando em Neurocirurgia da UFRJ, Médico Neurocirurgião do HUCFF da UFRJ

 

 


RESUMO

Os autores analisam a literatura sobre apoplexia hipofisária intradenomatosa, enfocando a fisiopatologia, o diagnóstico e a conduta terapêutica. Estudam 5 casos , de uma série de 86 pacientes com tumores hipofisários que desenvolveram esta síndrome e que foram diagnosticados e acompanhados pelos serviços de Neurocirurgia e Endocrinologia do Hospital Universitário Clementino Fraga Filho da Universidade Federal do Rio de Janeiro. Todos os casos, a partir da suspeita clínica, tiveram o diagnóstico confirmado por estudo de tomografia computadorizada de crânio e/ou ressonância magnética de crânio. O tratamento de escolha foi cirúrgico. As conclusões apontam para as dificuldades diagnósticas desta situação clínica e da urgência na instituição da terapia.

Palavras - chave: apoplexia hipofisária, tumores hipofisários, perda visual.


ABSTRACT

The authors review the literature on intra-adenomatous pituitary apoplexy with special emphasis on pathophysiology, diagnosis and therapeutic approach. They present five cases, from a series of 86 patients with pituitary tumors, that developed this syndrome. The patients were diagnosed and followed by the Neurosurgery and Endocrinology Services of Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro. Diagnosis was confirmed by CT-Scan and MRI in all cases , and the treatment of choice was surgical. Conclusions point to the diagnostic difficulties and the urgency of treatment in this clincal setting.

Key words: pituitary apoplexy, putuitary tumors, visual impairment.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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Aceite: 26-agosto-1997.

 

 

Dr. Flávio Freinkel Rodrigues - Rua Professor Álvaro Rodrigues 255 apto 101 - 22 280-040 Rio de Janeiro RJ - Brasil