IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-1-17642 Original Research Paper Silent hemorrhage in pituitary adenoma - A case report. Mohanty Dr. Debahuti Mohapatra Dr. January 2019 8 1 01 02 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.