Document Detail

Apoplexy in sellar metastasis: a case report and review of literature.
MedLine Citation:
PMID:  21534208     Owner:  NLM     Status:  In-Data-Review    
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.
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:
Type:  Journal Article    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  21     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  230-4     Citation Subset:  IM    
Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Neurosurgery, Srinager/ J&K, India.
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