{"id":"6e8645a8-a9c3-4468-9a86-ab3759b6ebfc","slug":"unusual-bifrontal-cerebral-infarction-related-to-pituitary-apoplexy-an-uncommon-presentation-and-literature-review","title":"Unusual bifrontal cerebral infarction related to pituitary apoplexy. An uncommon presentation and literature review","authors":["Tiago S. F. Holanda","Isnara Mara Freitas Pimentel","Paulo Victor Ferreira Gomes Araujo","José Ítalo da Silva Damasceno Gomes","Vinícius Chagas de Morais Moreira","Tito Bastos Siqueira Soares","Lucas Alverne Freitas de Albuquerque"],"abstract":"Background: Pituitary apoplexy (PA) is a syndromic condition described in 1950. The main symptoms are headache, visual impairment, ophthalmoplegia, and hypopituitarism. The relationship between stroke and PA is uncommon and two mechanisms are described: vascular compression and vasospasm. Case Report: A 65-old-year man presented with severe headache, vomiting, ophthalmoplegia, and somnolence. Radiological examinations showed an expansive sellar and suprasellar lesion with a heterogeneous signal, besides Diffusion-weighted imaging (DWI) restriction in the bifrontal area was present. The findings were compatible with PA and stroke. Conclusion: PA leading to cerebral infarction is a rare condition that presents high morbidity and mortality levels. There are two main mechanisms related: direct arterial compression and arterial vasospasm. The cases must be conducted as neuroendocrinological emergencies and surgical management is a key point to better the prognosis of patients.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/6e8645a8-a9c3-4468-9a86-ab3759b6ebfc/featured/hero-1781560666647.png","publishDate":"2022-12-09T00:00:00.000Z","doi":"10.25259/SNI_979_2022","categories":["Neuroendoscopy","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/12/12047/SNI-13-577.pdf"}