American Journal of Neuroradiology 23:1240-1245, August 2002
© 2002 American Society of Neuroradiology
Case Report
BRAIN
Pituitary Apoplexy: Early Detection with Diffusion-Weighted MR Imaging
a Department of Diagnostic Imaging, Brown University Medical School, Rhode Island Hospital, Providence, RI
b Department of Neurosurgery, Brown University Medical School, Rhode Island Hospital, Providence, RI
c Department of Neuropathology, Brown University Medical School, Rhode Island Hospital, Providence, RI
Address reprint requests to Jeffrey M. Rogg, MD, Department of Diagnostic Imaging, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903
Summary: Pituitary apoplexy is defined as a clinical syndrome that may include headache, visual deficits, ophthalmoplegia, or altered mental status. It may result from either infarction or hemorrhage of the pituitary gland. Prognosis is significantly improved with early diagnosis and surgical treatment. We report two cases in which diffusion-weighted MR imaging assisted in the early detection of acute pituitary infarction and led, in one case, to surgical intervention early in the course of clinical apoplexy, with resulting complete recovery.
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