Searchable abstracts of presentations at key conferences in endocrinology

ea0011p47 | Clinical case reports | ECE2006

Forced conservative management of a patient with pituitary tumour apoplexy and reduced conscious level

Advani A , James RA , Jenkins A , Parr JH , Scott J , Cooper R , Wahid ST

Historically, acute neurosurgical decompression has been considered treatment of choice for pituitary apoplexy with some studies advocating a conservative approach. We describe a patient, with reduced consciousness due to apoplexy of a gonadotroph adenoma, in whom there was spontaneous tumour shrinkage. A 68-year-old gentleman presented following a collapse with hypothermia, bradycardia and bitemporal hemianopia. Initial investigations showed low plasma sodium and glucose. Ove...