Heparin-Induced Pituitary Apoplexy Presenting as Isolated Unilateral Oculomotor Nerve Palsy: A Case Report and Literature Review
المؤلفون المشاركون
Bachuwa, Ghassan
Swaid, Bakr
Kalaba, Frank
Sullivan, Stephen E.
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-10-09
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Introduction.
Pituitary apoplexy (PA) is a rare and potentially life-threatening clinical syndrome resulting from pituitary gland hemorrhage and/or infarction.
Anticoagulation is a risk factor for triggering PA.
Isolated oculomotor nerve palsy is an atypical presentation of PA.
Case Presentation.
A 65-year-old African American female with no past medical history of pituitary disease presented to the emergency department (ED) with nonspecific abdominal pain that was thought to be secondary to fecal stasis and subsequently improved with laxatives.
She also reported atypical chest pain that was concerning for unstable angina.
She was started on aspirin, clopidogrel, and intravenous (IV) heparin.
Later, coronary catheterization showed no significant coronary artery disease (CAD).
Twelve hours after the procedure, the patient developed acute complete left oculomotor nerve palsy with a severe headache.
Magnetic resonance imaging (MRI) of the head showed a large pituitary mass.
Pituitary apoplexy was suspected and the patient eventually underwent a successful trans-sphenoidal pituitary resection.
Discussion.
We report a case of PA manifesting as isolated left oculomotor nerve palsy without visual field defects in the setting of using dual antiplatelet therapy (DAPT) and IV heparin for acute coronary syndrome.
To the best of our knowledge, this unique combination has not been previously reported.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Swaid, Bakr& Kalaba, Frank& Bachuwa, Ghassan& Sullivan, Stephen E.. 2019. Heparin-Induced Pituitary Apoplexy Presenting as Isolated Unilateral Oculomotor Nerve Palsy: A Case Report and Literature Review. Case Reports in Endocrinology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1135757
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Swaid, Bakr…[et al.]. Heparin-Induced Pituitary Apoplexy Presenting as Isolated Unilateral Oculomotor Nerve Palsy: A Case Report and Literature Review. Case Reports in Endocrinology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1135757
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Swaid, Bakr& Kalaba, Frank& Bachuwa, Ghassan& Sullivan, Stephen E.. Heparin-Induced Pituitary Apoplexy Presenting as Isolated Unilateral Oculomotor Nerve Palsy: A Case Report and Literature Review. Case Reports in Endocrinology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1135757
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1135757
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر