versión impresa ISSN 1130-1473
GONZALEZ-TORTOSA, J.; POZA-POZA, M. y 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.
Palabras clave : Pituitary adenoma; Pituitary apoplexy; Spinal anesthesia.