Abstract
Pituitary apoplexy followed by cerebral infarction is rare. We report a 59-year-old
male with a known pituitary macroadenoma who was admitted to our emergency department
for treatment of an acute myocardial infarction. He underwent coronary angioplasty
and was subsequently treated with aspirin, clopidogrel and full-dose enoxaparin. He
developed pituitary apoplexy with bilateral compression of both internal carotid arteries,
and infarction of both anterior and middle hemispheres; consequently, he died. This
patient illustrates the difficulties of administering aggressive anticoagulative and
antiplatelet therapy to patients who have a known pituitary adenoma.
Keywords
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Article info
Publication history
Accepted:
March 5,
2009
Received:
January 22,
2009
Identification
Copyright
© 2009 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
