Pituitary Adenoma "Pneumo-Apoplexy"

Ana Isabel Almeida; José Maria Sousa; Luísa Sampaio

doi:10.1016/j.wneu.2023.01.052

Pituitary Adenoma "Pneumo-Apoplexy"

World Neurosurg. 2023 Apr:172:10-11. doi: 10.1016/j.wneu.2023.01.052. Epub 2023 Jan 20.

Authors

Ana Isabel Almeida¹, José Maria Sousa², Luísa Sampaio³

Affiliations

¹ Neuroradiology Department, Centro Hospitalar e Universitário de São João, E.P.E, Porto, Portugal. Electronic address: a.almeida.isabel@gmail.com.
² Neuroradiology Department, Centro Hospitalar e Universitário de São João, E.P.E, Porto, Portugal.
³ Neuroradiology Department, Centro Hospitalar e Universitário de São João, E.P.E., Faculty of Medicine, Oporto University, Porto, Portugal, Porto, Portugal.

PMID: 36682526
DOI: 10.1016/j.wneu.2023.01.052

Abstract

Tension pneumosella has been recognized as a very rare complication of pituitary transsphenoidal surgery. To the best of our knowledge, we report the second case of a pituitary adenoma "pneumo-apoplexy", which is characterized by findings consistent with tension pneumosella in the context of apoplexy of a pituitary adenoma; although it is an extremely rare diagnosis, it should be considered in patients with compatible clinical and radiological findings, particularly with a previous history of transsphenoidal pituitary surgery.

Keywords: Adenoma; Apoplexy; Pituitary; Pneumocephalus; Pneumosella.

MeSH terms

Adenoma* / complications
Adenoma* / diagnostic imaging
Adenoma* / surgery
Humans
Pituitary Apoplexy* / surgery
Pituitary Gland
Pituitary Neoplasms* / complications
Pituitary Neoplasms* / diagnostic imaging
Pituitary Neoplasms* / surgery