Source:http://linkedlifedata.com/resource/pubmed/id/11587471
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2001-10-5
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pubmed:abstractText |
Pituitary apoplexy is a severe and potentially life-threatening condition that may be highly variable in its clinical presentation. We report a 37-year-old man presenting to the emergency department with diplopia that abruptly developed while he was eating canned and bottled food prepared at home. A computed tomography scanning revealed an isodense mass within the sellar region and, subsequently, a magnetic resonance imaging showed a pituitary apoplexy causing a compression of the right III and VI oculomotor nerves. There was no improvement with hydrocortisone therapy and the patient underwent a transsphenoidal excision of the mass with an uneventful course. Pituitary apoplexy may raise in the appropriate setting the suspicion of botulism. The abrupt-onset paralysis of oculomotor nerves has been described as the chief presenting sign of pituitary apoplexy in only few cases including this. A pathophysiology, differential diagnosis with botulism and other causes of multiple cranial nerve paralysis, and treatment are described.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0969-9546
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
233-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:11587471-Acute Disease,
pubmed-meshheading:11587471-Adult,
pubmed-meshheading:11587471-Diplopia,
pubmed-meshheading:11587471-Emergencies,
pubmed-meshheading:11587471-Humans,
pubmed-meshheading:11587471-Magnetic Resonance Imaging,
pubmed-meshheading:11587471-Male,
pubmed-meshheading:11587471-Ophthalmoplegia,
pubmed-meshheading:11587471-Pituitary Apoplexy,
pubmed-meshheading:11587471-Pituitary Neoplasms,
pubmed-meshheading:11587471-Prolactinoma,
pubmed-meshheading:11587471-Treatment Outcome
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pubmed:year |
2001
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pubmed:articleTitle |
Abrupt-onset oculomotor paralysis: an endocrine emergency.
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pubmed:affiliation |
Department of Medical Sciences, San Camillo Hospital, Rome, Italy.
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pubmed:publicationType |
Journal Article,
Case Reports
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