| Apoplexy in sellar metastasis: a case report and review of literature. | |
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MedLine Citation:
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PMID: 21534208 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Apoplexy in sellar metastasis is very rare with only a few case reports in literature. A case of apoplexy in sellar metastasis from follicular thyroid carcinoma is reported and the literature is briefly reviewed. The patient presented with sudden onset headache and bi-lateral loss of vision following thyroidectomy in a case of follicular carcinoma thyroid with proven sellar metastasis. CT scan showed hyperdense blood in sellar mass suggestive of apoplexy in sellar metastasis. The patient underwent early trans-sphenoidal decompression. Apoplexy in sellar metastasis, although very rare, can be clinico-radiologically indistinguishable from pituitary apoplexy and should be especially considered in the differential diagnosis of patients with known primary neoplastic disease. In view of similar patho-physiological mechanism, sellar metastasis with apoplexy should be managed in a similar manner as pituitary apoplexy. |
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Authors:
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Sarbjit Singh Chhiber; Abdul Rashid Bhat; Shoukat H Khan; Mohd Afzal Wani; Altaf U Ramzan; Altaf R Kirmani; Nayel K Malik; Abrar A Wani; Tanveer Rather |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Turkish neurosurgery Volume: 21 ISSN: 1019-5149 ISO Abbreviation: Turk Neurosurg Publication Date: 2011 |
Date Detail:
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Created Date: 2011-05-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9423821 Medline TA: Turk Neurosurg Country: Turkey |
Other Details:
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Languages: eng Pagination: 230-4 Citation Subset: IM |
Affiliation:
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Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Neurosurgery, Srinager/ J&K, India. |
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