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Recurrent pituitary apoplexy in pregnancy.

Franziska GeisslerIrene HoesliMonya Todesco Bernasconi
Published in: BMJ case reports (2021)
Pituitary apoplexy is caused by haemorrhage or infarction of the pituitary gland. Presenting signs and symptoms often include severe headache, visual disturbance, ophthalmoplegia, altered consciousness and impaired pituitary function. The management of pituitary apoplexy has very rarely been described during pregnancy and there is no existing data for further pregnancies of affected women. We present a case of a woman with a recurrent pituitary apoplexy due to haemorrhages in a pituitary adenoma in her third and fourth pregnancies. In both pregnancies, the pituitary apoplexy was managed conservatively, but due to therapy-resistant headaches, a preterm delivery was implemented.
Keyphrases
  • growth hormone
  • preterm birth
  • pregnancy outcomes
  • gestational age
  • type diabetes
  • case report
  • metabolic syndrome
  • skeletal muscle
  • preterm infants
  • bone marrow
  • pregnant women
  • physical activity
  • data analysis