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
190K - views

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

Tags : MXm GKLK8IP
Download Pdf

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

Download Pdf - The PPT/PDF document "g MXm GKLKIP LDFI G C Me e eKee eAeKo..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.

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:

Page 1
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```
Page 2
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```` ````` *. %
Page 3
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__^%
Page 4
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
Page 5
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

vessels in chromophobe adenoma. Acta Neuropathol (Berl) 1972;22:200-207. 16. Schechter J. Ultrastructural changes in the capillary bed of hu man pituitary tumors. Am J Pathol 1972;6:333-342. 17. Baker HL Jr. The angiographic delineation of sellar and para sellar masses. Radiology 1972;104:67-78. 18. Brougham M, Heusner AP, Adams RD. Acute degenerative
Page 6
8g``)''02-.)$8 *** ``pggp % changes in adenomas of the pituitary body with special ref erence to pituitary apoplexy. J Neurosurg 1950;7:421-439. 19. Uihlein A, Balfour WM, Donovan PF. Acute haemorrhage into pituitary

adenomas. J Neurosurg 1957;14:140-151. 20. Wakai S, Yamakawa K, Manaka S, Takakura K. Spontaneous Intracranial hemorrhage caused by brain tumor: its incidence DQGFOLQLFDOVLJQLFDQFH1HXURVXUJHU\ 21. Arafah BM, Ybarra J, Tarr RW, Madhun ZT, Selman WR. Pitu itary tumor apoplexy: pathophysiology, clinical manifestations and management. J Intensive Care Med 1997;12:123-134. 22. Rovit RL, Fein JM. Pituitary apoplexy: a review and reapprais al. J Neurosurg 1972;37:280-288. 23. Fraioli B, Esposito V, Palma L, Cantore G. Hemorrhagic pitu itary adenomas:

clinicopathological features and surgical treat ment. Neurosurgery 1990;27:741-747. 24. Semple PL, De Villiers JC, Bowen RM, Lopes MB, Laws ER. Pi WXLWDU\DSRSOH[\GRKLVWRORJLFDOIHDWXUHVLQXHQFHWKHFOLQLFDO presentation and outcome? J Neurosurg 2006;104:931-937. 25. Cardoso ER, Peterson EW. Pituitary apoplexy: a review. Neu rosurgery 1984;14:363-373. 26. Shirataki K, Chihara K, Shibata Y, Tamaki N, Matsumoto S, Fu gita T. Pituitary apoplexy manifested during a bromocriptine test in a patient with a growth hormone- and

prolactina-pro ducing pituitary adenoma. Neurosurgery 1988; 23:395-398. 27. Vella A, Young Jr WF. Pituitary apoplexy. The Endocrinologist 2001;11:282-288. 28. Knoepfelmacher M, Gomes MC, Melo ME, Mendona BB. Pi tuitary apoplexy during therapy with carbegoline in an ado lescent male with prolactin-secreting macroadenoma. Pituitary 2004;7:83-87. 29. Ostrov SG, Quencer RM, Hoffman JC, Davis PC, Hasso NA, David NJ. Hemorrhage within pituitary adenomas: how of ten associated with pituitary apoplexy syndrome? AJR Am J Roentgenol 1989;153:153-160. 30. Miranda M, Barros L, Knopfelmacher M, et al.

Apoplexia pitu LWiULDVHJXLGDGHUHPLVVmRHQGyFULQDUHODWRGHGRLVFDVRV$UT Neuropsiquiatr 1998;56:449-452. 31. Dometas HS, Selcuklu A, Colak R, Unluhizarci K, Bayram F, Kelestimur F. Pituitary apoplexy probably due to TRH and GnRH stimulation tests in a patient with acromegaly. J Endo crinol Invest 1999;23:698-700. 32. Bonicki W, Kasperkik-Zluska A, Koszewski W, Zgliczynski W, Wilawski J. Pituitary apoplexy: endocrine, surgical and on cological emergency. Incidence, clinical course and treatment with reference to 799

cases of pituitary adenomas. Acta Neu rochir 1993;120:118-123. 33. Bhattacharrya A, Tymms DJ, Naqvi N. Asymptomatic pituitary apoplexy after aortocoronary bypass surgery. Int J Clin Pract 1999;53:394-395. 34. Motta LA, Mello PA, Lacerda CM, Neto AP, Motta LD, Filho MF. Pituitary apoplexy. Clinical course, endocrine evaluations and treatment analysis. J Neurosurg Sci 1999;43;25-36. 35. Wongpraparut N, Pleanboonlers N, Suwattee P, et al. Pitu itary apoplexy in a patient with acute myeloid leukaemia and thrombocytopenia. Pituitary 2000;3:113-116. 36. Mukhida K, Kolyvas G. Pituitary apoplexy

following cardiac surgery. Can J Neurol Sci 2007;34:390-393. 37. Bills DC, Meyer FB, Laws ER, et al. A retrospective analysis of pituitary apoplexy. Neurosurgery 1993;33:602-609. 38. Veldhuis JD, Hammond JM. Endocrine function after sponta neous infarction of the human pituitary: report, review and re appraisal. Endocr Rev 1980;1:100-107. 39. dos Santos Silva CM, Lima GA, Machado EO, Van Haute FR, Gadelha MR. Transient central diabetes insipidus followed by pituitary apoplexy treated in a conservative way. Arq Neurop siquiatr 2008;66:415-417. 40. Post MJ, David NJ, Glaser JS, Safran A.

Pituitary apoplexy: di agnosis by computed tomography. Radiology 1980;134:665-670 41. Kleinschmidt-DeMasters BK, Lillehei KO, Stears JC. The path ological, surgical and MR spectrum of Rathke cleft cysts. Surg Neurol 1995;44:19-27. 42. Maccagnan P, Macedo CL, Kayath MJ, Nogueira RG, Abucham J. Conservative management of pituitary apoplexy: a prospec tive study. J Clin Endocrinol Metab 1995;80:2190-2197.