Turkish Neurosurgery
PITUITARY APOPLEXY DUE TO DAIGNOSTIC TEST IN CUSHING’S DISEASE PATIENT
Fatih Kuzu1, Mustafa Unal1, Sanser Gul2, Taner Bayraktaroglu1
1Bulent Ecevit University, Faculty of Medicine, Endocrinology and Metabolism, Zonguldak,
2Bulent Ecevit University, Faculty of Medicine, Neurosurgery, Zonguldak,
DOI: 10.5137/1019-5149.JTN.16730-15.1

Pituitary apoplexy is a medical condition that needs urgent diagnosis and treatment. It may occur spontaneously or may be precipitated by a variety of reasons including dynamic endocrine tests. Although pituitary apoplexy is usually seen in non-functional pituitary adenoma, it can also be seen in ACTH secreting macroadenomas. ACTH secreting adenomas present usually as microadenomas and in these patients apoplexy is rarely seen. In this paper we present a 30 years old male patient with a history of Cushing’s disease who suffered from pituitary apoplexy after1 mg dexamethasone suppression test. He underwent endoscopic endonasal transsphenoidal surgery and his symptoms and signs were significantly improved

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