g   MXm GKLKIP LDFI G C Me e eKee  eAeKo eeek X pggpp gpnpgp qgpggg g  gpggpgpgp ggXg  ggg g qgggg ggg   ggggg   g     q    g   q g      g g Memhem pggpgp  gpp g   gp p gpggpgpggp  ngpggpngp p gp gpg
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g MXm GKLKIP LDFI G C Me e eKee eAeKo eeek X pggpp gpnpgp qgpggg g gpggpgpgp ggXg ggg g qgggg ggg ggggg g q g q g g g Memhem pggpgp gpp g gp p gpggpgpggp ngpggpngp p gp gpg

8 1 MXm GKLK8IP LDFI 8G C Me 8e 8eKee eAeKo e9eek X pggpp gpnpgp qgpggg g 65533 1gpggpgpgp ggXg 8ggg g qgggg g

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g MXm GKLKIP LDFI G C Me e eKee eAeKo eeek X pggpp gpnpgp qgpggg g gpggpgpgp ggXg ggg g qgggg ggg ggggg g q g q g g g Memhem pggpgp gpp g gp p gpggpgpggp ngpggpngp p gp gpg




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Presentation on theme: "g MXm GKLKIP LDFI G C Me e eKee eAeKo eeek X pggpp gpnpgp qgpggg g gpggpgpgp ggXg ggg g qgggg ggg ggggg g q g q g g g Memhem pggpgp gpp g gp p gpggpgpggp ngpggpngp p gp gpg"— Presentation transcript:


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8g``)''02-.)$8 1*)/$*** *)/ M`Xm` G@KL@K8IP LDFI 8G C :M%:_e^ #8e:%= #8e:Kee # eAeKo #e_9:e:e_$k X ``pggp``p``` g``p%@``n#`p#g``p `q`gp``g`#g`g`# ``#g`% <� 1g``pggp#g``p#g``p% gg`X`g`}`  8gg``g````` ``g`%````# `q`g``g``#`g`g`# g`g#`#g`% $: < 1gg``g``#`g`#`g``% ``` ```` g` `=```` #   #9q` : $= 2 g```= #  #9q`2 g`  : $= % `) g)''/#``(, )''/%8g0)''0%

;%:M^:_e^8m%9h/*+&(0*'+(+)$'/($9%<$1_e^%m7^% ``pggp`g`p`$`` ```` g``p%````p ##``#``g`# # ($+ 8g`p` #p g``pggpg``pggp % n``g``pggpn``g``p #`p`$ g``p #g`p`gp% 8``g``pggp .$0  `p`n`p`g` `pg`g``p`` #```g``pggp ```pg` `` ('#(( % E8KFDPF=K?<J@FE g``p```pg` `nn`` g%@``p gg``%@#` gg`p() -`n`'#-# `gp`p%g` `p```ng1` ``g`/' $g``p ``)' g``$g``p () M8J:LC8I@Q8K@FEF=?P FK?8C8DLJ

8E; @KL@K8IP>C8E; ggg``p` `pg````% ` `g``p`$g``p ``n`$g``pg``% ```g`ppg g``png``p` ``p'%/&&` %@`` nn`g``p ``ggp`pg` ``````g gp %@``.'0'$g``p`` `g`` %8```g `p`g`np ``#g```g` `p%8g```
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8g``)''02-.)$8 *)0 ``pggp % ggp$g``pg `#````g``p`n` ``p%  `#`gn`` `` () % g#g``p``` `n`g p (* #g``p,%+ p` (+ M8J:LC8I@Q8K@FEF= @KL@K8IP8; `q`% ppg``p

`````%`` gpp`g`#n `#n``qg` gn`g`g` (,#(- % 8```g#` g``p#` `p``g``p (. `g``` ggp`g`p`` g``pp#`p ``g ()#(. % K@F 8K?FCF>P `gpg``pggp`` % `g``pggp g`n`g `ggp (/$)' %@``ng` g`g`pn` p```%`q gg )( #``n %8`g` `pggp`n``` ng`ng``p `g```` #p``# `` ` )) %```g g`p``g``pp#g` g`g``pp`` `g``$ g``p%@`` n`n``g``p` ` )) % ``` ``` gg``p```

`%g`n` ```g`` #``` )* %`n ``p`` pgg`` n ``` )+ % pg````` `%```p` ```gn``` ` ((#)* % gn`g``gpg` `p``%@`` `g``p`gg `n`` ,#() %8``p#g` `pp p%#`g ````$gp p```g g``p ), % GI<;@J FJ@E> 8:KFIJ ```g``p ggp``p`ggn` pg`g`g``p ,#), % `g`g``g``pg gp ), 1```g` ` )-$)/ #`gp )0 #g``p` *'#*( # kk ##pg` p *)$*- % `g`` `g``pggp` ```np (#- % gggp`` pgg``p`n` $``g`

gggp% #8 # # g`$```g ,#)( %@ ``n$`` g`g``p` #ggggg``p ggp```$``# n```` () % C@E@:8C <8KLI ``g``pggp` p`#``````p# ``g` ``% `pgg` `pggp`g`n` #`n`g`% `p```q#$`p g`$`p% ``p`n` $`n p`%g`` p``g``pggp``` `#$g`# `n#`g```` ````` *. %
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8g``)''02-.)$8 **' ``pggp % 8```p` g`#`#g`% @@@#@ # @ ` ``pg` n``n` `gg` ,#() %`g` ggg``p `n``

```%#` `g`g` `pgg$n g``p%@g`p``g`n` @@@`%=`p g ```` () % 8`` ``g`n`g``pggp %@` ```$` #```g#`p g#``p``pg `pgp`#pg`g`% ``p` `p#````#pg`p ````g%`` `g`n`g``pggp ``$` % =`g` ``` pg`g % `pg``` g``p`g``pggp# g``g` ng```p`% ``p`g``8  `````p` `gp`%`pg` gn`##g`pgg```% `n` `g`g``pggp# `  */ `g$g``p ``1 `// #8 pg `-- #pgp``+) pg pg`/, % `

keg ` g``pggp`g`p+ *0 % p#`ggg`8 `#gg g`$g``pg``p (' % @E> 8````#g``gp ```g``g``p ggpn`g``p ` p# `#```g`` g``pggp%8g``gp g``pggp% 8gg` `g`n`pg``g gp =`( `p +#()#+' % p g```pg`p ````g`g`` ` )) %8``gg`pp ` ``g p``##``#` ``n`p` ), %9` $` n````% ````n$g` ```g ``` p` `````% `p#`` =^(%kek_gkk^g_pemn k_ ekkk_knk_ek__^e e_pgee%

=^)%kek_K($n^_k^ekee^e^ emn ege nk__pge ke_e__^%
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8g``)''02-.)$8 **( ``pggp % ```p g``pggpg` ` *+ % g``````` ```$n` + `` `` @ `` ` g``pggp% $` g``pggp` @``p ), %  @`g```p ```%@g` `pggpp `` @ ``pg$``` $ $n` `2np$ ```` ```2` `` $ $`=`) % pg`` @p  gpg``pggp () % pg` $n`` ``##`n``g` `%#`$pg n` pg```g``#`g #`p#`p ` *+ % ```` n`` @``pg`

``%`g``pggp $n`` $```#`g# `p#pg`% `g``ppg``  ` ``g`n``p# ``````n`g``p n` () % `g``#`g #`ppgn`n`` `gg```` gn````% 8`gppg` g``pggp`ng ``. #g%@ ``` n`%8`gp` `pg`p`g`n`` g`````   @ % @== @8>EFJ@J ````p``g` `pggp$`g ``````% ` p``````` p`#pg`ggp#` p#``#` #g``#``#g``# gg```% pg`` n``` (#+#+( % ``g`g``pggpp g``` #gp%g ``g``pggp``g`g` n`gpgg```p `g`n`ggp 

g`pg`gnpp`pg %@g`n``` pggg`p ng`g`n` ggp % ``````p`` ``%=p`n `$ `g``pggp% `pp`g` `pggpn% @g#g`` : = ` ````n ``g``p$`%8 n`` : =n``p`g``pggp% ` `np`g``pg gpg`p``g`g % p# : =`p`` `$`  ```g``pggp `` *) % I<8KD g``pggp`` ``n```` .#+) % `p``g` g``pggp`g`%` `````p``` p%g`n`ggp` ``p`p%8`#p gg```#``` `pg`% @`n`p ```` ````% ```p` g`n`` g`gg```%8

`g```p`#gp `$g`ng %`np ```g``g`g `% `p```$ `g``#`#g$ #`g ()#)* % #$g```g` `g``p%p ``pg`p
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8g``)''02-.)$8 **) ``pggp % gn`````` n``g```` g``%````` ggpg```p `g`ggp @`p`g` p`p`gg ````p`% ` gnn`g``pggp ``p () % gpn``` ``g` ```g`n``n` `pg% np` gp`$ `pggp % 8``g``pggp` `g`#` `p#p`#`` ```ggp`` pg` pg%  `n/(-#p

`,'`pp-` +/ +#, % `p#g```p ``ppgp`g`%`g ```q` ``% n#pgp```` ``p%pgp```# `g`p#`` `g```g g`p`g`pn ``pg#g` @:8CFLK:FD< p`gg` pg`g``pggp` p%`pg `pgg`p ``%@npn``n g``pggp``p pg`g *. %`` ``p`ngp% @``g``n$ gp`p`pg` g$`%`n` $`g``pggp ` ````p`` ``` ggp```p `% @`#g``pggp` g``g``p` `q``` `gg`` ````q``` ``g`% <= 1. Randeva HS, Schoebel J, Byrnet J, Esiri M, Adams

CB, Wass JA. Classical pituitary apoplexy: clinical features, management and outcome. Clin Endocrinol 1999;51:181-188. 2. Sibal L, Ball SG, Connolly V, et al . Pituitary apoplexy: a re view of clinical presentation, management and outcome in 45 cases. Pituitary 2004;7:157-163. 3. Elssser Imboden PN, De Tribolet N, Lobrinus A, et al. Apo plexy in pituitary macroadenoma: eight patients presenting in 12 months. Medicine 2005;84:188-196. 4. Dubuisson AS, Beckers A, Stevenaert A. Classical pituitary tu mour apoplexy: clinical features, management and outcomes in a series of 24 patients. Clin

Neurol Neurosurg 2007;109:63-70. 5. Nawar RN, AbdelMannan D, Selma WR, Arafah BM. Pituitary tumor apoplexy: a review. J Intensive Care Med 2008;23:75-89. 6. Biousse V, Newman NJ, Oyesiku NM. Precipitating factors in pi tuitary apoplexy. J Neurol Neurosurg Psychiatry 2001;71:542-545. 7. Onesti ST, Wisniewski T, Post KD. Clinical versus subclinical pituitary apoplexy: presentation, surgical management, and outcome in 21 patients. Neurosurgery 1990;26: 980-986. 8. Miranda M, Barros L, Knopfelmacher M, et al. Pituitary apo plexy followed by endocrine remission. Report of two cases. Arq

Neuropsiquiatr 1998;56:449-452. 9. Pinheiro MM, Cukiert A, Salgado LR, et al. Subclinical apo plexy in pituitary tumors. Arq Neuropsiquiatr 1999;57:74-77. 10. Fraioli B, Esposito V, Palma L, Cantore G. Hemorrhagic pitu itary adenomas: clinicopathological features and surgical treat ment. Neurosurgery 1990;27:741-747. 11. McFadzean RM, Doyle D, Rampling R, Teasdale E, Teasdale G. Pituitary apoplexy and its effect on vision. Neurosurgery 1991;29:669-675. 12. Cunha-Neto MBC, Musolino NRC, Toscanini AC. Sndrome da

VHODYD]LDHDSRSOH[LDKLSRViULD,Q6DDG0-$0DFLHO50% Mendona BB (Eds). Endocrinologia. So Paulo: Editora Ath eneu, 2007:47-62. 13. Reid RL, Quigley ME, Yen SS. Pituitary apoplexy. A review. Arch Neurol 1985;42:712-719. 14. Wakai S, Fukushima T, Teramoto A, Sano K. Pituitary apo plexy: its incidence and clinical significance. J Neurosurg 1981;55:187-193. +LUDQR$7RPL\DVX8=LPPHUPDQ+07KHQHVWUXFWXUH of blood

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