Silent hemorrhage in pituitary adenoma - A case report.

Sureswar Mohanty; Srikant Kumar Swain; Debahuti Mohapatra; Gouri Sankar Sarangi

Volume : VIII, Issue : I, January - 2019

Silent hemorrhage in pituitary adenoma - A case report.

Sureswar Mohanty, Srikant Kumar Swain, Debahuti Mohapatra, Gouri Sankar Sarangi

Abstract :

Incidence of asymptomatic intratumoral hemorrhagie or subclinical apoplexy in pituitary adenoma is 14–22% in non–secreting adenomas and 2–3% in prolactinomas [1]. Pituitary apoplexy in prolactinomas often seen in female children [2]. Asymptomatic intra–tumoral hemorrhage often present as non–specific headache and panhypopituitarism. However it is rare in prolactinomas. With the advent of CT and MRI, silent large intra–tumoral hemorrhages without any symptoms or signs of acute hemorrhage (apoplexy) can be easily detected. Surgical decompression of hemorrhage and tumor resulted in normalization of hyperprolactinemia.