Pituitary Apoplexy Manifesting as Diffuse Subarachnoid Hemorrhage —Case Report—

Kuniaki NAKAHARA; Hidehiro OKA; Satoshi UTSUKI; Hideo IIDA; Mari KURITA; Takahiro MOCHIZUKI; Kiyotaka FUJII

doi:10.2176/nmc.46.594

Case Reports

Pituitary Apoplexy Manifesting as Diffuse Subarachnoid Hemorrhage

—Case Report—

Kuniaki NAKAHARA, Hidehiro OKA, Satoshi UTSUKI, Hideo IIDA, Mari KURITA, Takahiro MOCHIZUKI, Kiyotaka FUJII

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Keywords: apoplexy, pituitary adenoma, subarachnoid hemorrhage

JOURNAL OPEN ACCESS

2006 Volume 46 Issue 12 Pages 594-597

DOI https://doi.org/10.2176/nmc.46.594

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Abstract

A 46-year-old woman presented with hemorrhage from a non-functioning pituitary adenoma manifesting as sudden onset of severe headache. Computed tomography demonstrated diffuse subarachnoid hemorrhage (SAH) and a suprasellar mass with intratumoral hematoma. The patient underwent transnasal transsphenoidal removal of the pituitary adenoma. This type of SAH with intratumoral hematoma simulates rupture of an anterior cerebral artery aneurysm.

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