무균성 수막염으로 발현한 흔하지 않은 뇌하수체졸중
A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis
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초록
We encountered a case of pituitary apoplexy who presented with isolated headache and vomiting without visual disturbance or ophthalmoplegia. The cerebrospinal fluid examination was compatible with aseptic meningitis. A computed tomography revealed slightly high density in the pituitary fossa and suprasella area, but the signal change was very faint. Our case suggests that clinicians should take into account the possibility of pituitary apoplexy without visual disturbance or ophthalmoplegia, when aseptic meningitis is suspected.
Abstract
We encountered a case of pituitary apoplexy who presented with isolated headache and vomiting without visual disturbance or ophthalmoplegia. The cerebrospinal fluid examination was compatible with aseptic meningitis. A computed tomography revealed slightly high density in the pituitary fossa and suprasella area, but the signal change was very faint. Our case suggests that clinicians should take into account the possibility of pituitary apoplexy without visual disturbance or ophthalmoplegia, when aseptic meningitis is suspected.
참고문헌 (10)
- Watson CJ, "The problem of hepatic coma", J Med Liban, 8, pp.205~213 (1955)
- Reutens DC, "Pituitary apoplexy presenting as aseptic meningitis without visual loss or ophthalmoplegia", Aust N Z J Med, 20, pp.590~591 (1990)
- Haviv YS, "Pituitary apoplexy manifested by sterile meningitis", Eur J Med Res, 3, pp.263~264 (1998)
- Valente M, "Acute sterile meningitis as a primary manifestation of pituitary apoplexy", J Endocrinol Invest, 26, pp.754~757 (2003)
- Chibbaro S, "An interesting case of a pituitary adenoma apoplexy mimicking an acute meningitis. Case report", J Neurosurg Sci, 51, pp.65~69 (2007)
- Byung Chan Jeon, "Pituitary Apoplexy Complicated by Chemical Meningitis and Cerebral Infarction", Journal of Korean Medical Science, 22(6), pp.1085~1089 (2007), 대한의학회
- Winer JB, "Stuttering pituitary apoplexy resembling meningitis", J Neurol Neurosurg Psychiatry, 53, pp.440~ (1990)
- Murad-Kejbou S, "Pituitary apoplexy: evaluation, management, and prognosis", Curr Opin Ophthalmol, 20, pp.456~461 (2009)
- Turgut M, "Pituitary apoplexy: an overview of 186 cases published during the last century", Acta Neurochir (Wien), 152, pp.749~761 (2010)
- 정송이, "골드만과 험프리 동적시야검사에 따른 정상시야의 비교", 대한안과학회지, 50(6), pp.904~910 (2009), 대한안과학회