NDLI: Sudden and unexpected death from pituitary tumor apoplexy.

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Sudden and unexpected death from pituitary tumor apoplexy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Shields, Lisa B. E. Balko, M. Gregory Hunsaker, John C.
Description	Country affiliation: United States Author Affiliation: Shields LB ( Norton Neuroscience Institute, Louisville, KY 40202, USA.)
Abstract	Pituitary tumor apoplexy refers to a clinical syndrome precipitated by the expansion of a pituitary adenoma by hemorrhage or infarction. Individuals may present with myriad signs, including sudden onset of severe headache, visual changes, altered mental status, cranial nerve palsies, and hormonal dysfunction. This disorder constitutes a medical emergency and warrants an expedited evaluation, diagnosis, and treatment to prevent the potential sequelae of permanent visual loss, endocrine abnormalities, or death. We report a case of sudden death from undiagnosed pituitary tumor apoplexy. The decedent was evaluated by medical personnel on three occasions in the week prior to her death for severe headache, nausea, vomiting, and photophobia. Postmortem examination demonstrated a hemorrhagic infarction of a pituitary adenoma with necrosis and expansion out of the sella turcica. The recognition of and treatment for a patient with pituitary tumor apoplexy requires a rapid multidisciplinary effort. Failure of prompt diagnosis may be fatal and require a medico-legal death investigation for sudden and unexpected death.
File Format	HTM / HTML
ISSN	00221198
Issue Number	1
Volume Number	57
e-ISSN	15564029
Journal	Journal of Forensic Sciences
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2012-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Humans Middle Aged Tomography, X-ray Computed Sella Turcica Discipline Forensic Sciences Adenoma Death, Sudden Intracranial Hemorrhages Journal Article Case Reports Pituitary Neoplasms Pathology Etiology Pituitary Apoplexy Female Forensic Pathology Pituitary Gland
Content Type	Text
Resource Type	Case study Article
Subject	Genetics Pathology and Forensic Medicine

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