Apoplejía pituitaria: Reporte de dos casos. (Spanish)

Pituitary apoplexy: Two cases report. (English)

We report two cases from Hospital Nacional Cayetano Heredia, the first with unknown non-functioning pituitary adenoma, the second one with acromegaly, whose initial diagnosis were subarachnoid haemorrhage and acute meningitis respectively. A classic picture of pituitary apoplexy was developed in the evolution. We describe the clinical progress in both cases and make a review of the medical literature. Pituitary apoplexy must be considered in the differential diagnosis when headache, ocular paresis, and visual impairment are present. [ABSTRACT FROM AUTHOR]

Se presentan dos pacientes del Hospital Nacional Cayetano Heredia, el primero con un adenoma pituitario no funcionante sin diagnóstico previo, el segundo con acromegalia; inicialmente tuvieron los diagnósticos de hemorragia subaracnoidea y meningitis aguda respectivamente, y durante la evolución fueron diagnosticados de apoplejía pituitaria. Se describe la evolución clínica de ambos casos, y se hace una revisión bibliográfica del tema. Se plantea la necesidad de considerar el cuadro de apoplejía pituitaria dentro del diagnóstico diferencial cuando existe cefalea, oftalmoplejía y compromiso visual. [ABSTRACT FROM AUTHOR]

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