Abstract

GONZALEZ-TORTOSA, J.; POZA-POZA, M.  and  RUIZ-ESPEJO-VILAR, A.. Pituitary adenoma apoplexy after spinal anaesthesia: Report of two cases and review of the literature. Neurocirugía [online]. 2009, vol.20, n.5, pp.484-493. ISSN 1130-1473.

Two cases of pituitary apoplexy occurring after spinal anaesthesia are described. Both presented with headache and III par palsy, one of them with additional visual disturbance and hyponatremia. A bibliographical review has been done, looking for early diagnostic keys. We propose the arterial hypotension as a possible pathogenetic mechanism of pituitary adenoma apoplexy.

Keywords : Pituitary adenoma; Pituitary apoplexy; Spinal anesthesia.

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