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Published in: Pituitary 5/2018

Open Access 01-10-2018

Pituitary tumour apoplexy within prolactinomas in children: a more aggressive condition?

Authors: Elizabeth Culpin, Matthew Crank, Mark Igra, Daniel J. A. Connolly, Paul Dimitri, Showkat Mirza, Saurabh Sinha

Published in: Pituitary | Issue 5/2018

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Abstract

Objectives

To evaluate clinical presentations, diagnosis and management of paediatric patients presenting with pituitary apoplexy.

Methods

A retrospective case series describing a cohort of paediatric patients presenting with this condition from 2010–2016 to a tertiary referral children’s hospital in the United Kingdom.

Results

Pituitary apoplexy is a rare condition that seems to have a higher relative incidence in children than adults. Our series suggests that pituitary apoplexy in paediatric patients with adenomas appears more common than previously described. All our patients required surgery, either as an acute or delayed procedure, for visual compromise. Two patients had commenced growth hormone (GH) for GH deficiency two weeks prior to the onset of pituitary apoplexy.

Conclusions

With only a limited number of published case reports surrounding this topic our case series contributes to help further understand and manage this condition.
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Metadata
Title
Pituitary tumour apoplexy within prolactinomas in children: a more aggressive condition?
Authors
Elizabeth Culpin
Matthew Crank
Mark Igra
Daniel J. A. Connolly
Paul Dimitri
Showkat Mirza
Saurabh Sinha
Publication date
01-10-2018
Publisher
Springer US
Published in
Pituitary / Issue 5/2018
Print ISSN: 1386-341X
Electronic ISSN: 1573-7403
DOI
https://doi.org/10.1007/s11102-018-0900-8

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