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Endocrinology Physiotherapy Pituitary Apoplexy

Diagnosis of Pituitary Apoplexy

In this article we will discuss the Diagnosis of Pituitary Apoplexy

In this article, we will discuss the Diagnosis of Pituitary Apoplexy. So, let’s get started.

Diagnosis

  • Plain X-ray skull: It may show enlargement of sella turcica and destruction of clinoid processes. It can be normal also.
  • Pituitary CT/MRI scan: The CT scan of the head may show a high density or inhomogeneous gland with or without evidence of blood in subarachnoid space and MRI scan is more useful than CT scan in identifying pituitary hemorrhage or hemorrhage in a tumor with pituitary stalk deviation and compression of pituitary tissue
  • Angiography: It is done to differentiate pituitary apoplexy from subarachnoid hemorrhage due to aneurysmal rupture
  • Other hormone levels: Initially they may be normal except cortisol whose deficiency may develop acutely. Thyroid hormones (T3, T4, TSH) and gonadal hormone fall over weeks.

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