Acute pituitary hemorrhage
Usually occurs in preexisting adenoma
Severe headache
☆Bitemporal hemianopsia (optic chiasm) &
☆ophthalmoplegia (CN III)
Hemodynamic instability & altered sensorium
Panhypopituitarism (acute & chronic) Severe hypotension (central adrenal failure) Coma & death
high-dose corticosteroids
surgical emergency
endocrinology
neurosurgery
UWorld
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