2004, Number 3
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Med Sur 2004; 11 (3)
Quiz: Special case Magnetic ResonanceMedica Sur
López ZI, Facha GMT, Corona CR, Vivas BI, Vázquez LJ, Martínez LM
Language: Spanish
References: 28
Page: 197-200
PDF size: 72.66 Kb.
ABSTRACT
This is a 46-year-old woman, who presented 2 days ago an episode of generalized tonic-clonic seizures, with deviation to the left when walking. Since then she has been presenting episodes of delirium and disorientation. At Physical exam, she is disoriented in time. Eye fundus with left papilla partially erased. Strength and sensibility are preserved, reflexes are absent, right Babinski is present. At her arrival, her lab results were: Sodium 20, Cloride 201, potassium 80. She does have a past medical history significant for breast cancer and pituitary adenoma.
REFERENCES
Chiang MF, Brock M, Patt S. Pituitary metastases. Neurochirurgia (Stuttg) 1990; 33: 127-131.
Sioutos P, Yen V, Arbit E. Pituitary gland metastases. Ann Surg Oncol 1996; 3: 94-99.
McCormick PC, Post KD, Kandji AD, Hays AP. Metastatic carcinoma to the pituitary gland. Br J Neurosurg 1989; 3: 71-79.
Ruelle A, Palladino M, Andrioli GC. Pituitary metastases as presenting lesions of malignancy. J Neurosurg Sci 1992; 36: 51-54.
Morita A, Meyer FB, Laws Jr ER. Symptomatic pituitary metastases. J Neurosurg 1998; 89: 69-73.
Nelson PB, Robinson AG, Martinez AJ. Metastatic tumor of the pituitary gland. Neurosurgery 1987; 21: 941-944.
Van Seters AP, Bots GT, van Dulken H, Luyendijk W, Vielvoye GJ. Metastasis of an occult gastric carcinoma suggesting growth of a prolactinoma during bromocriptine therapy: a case report with a review of the literature. Neurosurgery 1985; 16: 813-17.
Zager EL, Hedley-Whyte ET. Metastasis within a pituitary adenoma presenting with bilateral abducens palsies: case report and review of the literature. Neurosurgery 1987; 21: 383-386.
Max MB, Deck MD, Rottenberg DA. Pituitary metastasis: incidence in cancer patients and clinical differentiation from pituitary adenoma. Neurology 1981; 31: 998-1002.
Houck WA, Olson KB, Horton J. Clinical features of tumor metastasis to the pituitary. Cancer 1970; 26: 656-659.
Freda PU, Post KD. Differential diagnosis of sellar masses. Endocrinol Metab Clin Am 1999; 28: 83-84, 99-100.
Suganuma H, Yoshimi T, Kita T, Okano H, Suzuki Y, Oki Y, Chida K, Sato A. Rare case with metastatic involvement of hypothalamo-pituitary and pineal body presenting as hypopituitarism and diabetes insipidus. Intern Med 1994; 33: 795-798.
Ntyonga-Pono MP, Thomopoulos P, Luton JP. Pituitary metastases. Three cases. Presse Med 1999; 28: 1567-1571.
Ito I, Ishida T, Hashimoto T, Arita M, Osawa M, Yokota T, Ishimori T. Hypopituitarism due to pituitary metastasis of lung cancer: case of a 21-year old man. Intern Med 2001; 40: 414-417.
Branch Jr CL, Laws Jr ER. Metastatic tumors of the sella turcica masquerading as primary pituitary tumors. J Clin Endocrinol Metab 1987; 65: 469-474.
Delattre JY, Castelain C, Davila L, Schadeck B, Poisson M. Metastasis to the pituitary stalk in a case of breast cancer. Rev Neurol (Paris) 1990; 146: 455-456.
Schubiger O, Haller D. Metastases to the pituitary-hypothalamic axis. An MR study of 7 symptomatic patients. Neuroradiology 1992; 34: 131-134.
Teears RJ, Silverman EM. Clinicopathologic review of 88 cases of carcinoma metastatic to the pituitary gland. Cancer 1975; 36: 216-220.
Neroni M, Artico M, Pastore FS, Esposito S, Fraioli B. Diaphragma sellae metastasis from colon carcinoma mimicking a meningioma. A case report. Neurochirurgie 1999; 45: 160-163.
Hanna FW, Williams OM, Davies JS, Dawson T, Neal J, Scanlon MF. Pituitary apoplexy following metastasis of bronchogenic adenocarcinoma to a prolactinoma. Clin Endocrinol (Oxf) 1999; 51: 377-381.
Furuta S, Hatakeyama T, Zenke K, Fukumoto S. Pituitary metastasis from carcinoma of the urinary bladder mimicking pituitary apoplexy-case report. Neurol Med Chir (Tokyo) 1999; 39: 165-168.
McEvoy AW, Khan N, Kitchen ND. Bitemporal hemianopia caused by metastatic carcinoma in a patient with Wegener’s granulomatosis: an unexpected finding. Br J Neurosurg 1997; 11: 579-581.
Aung TH, Po YC, Wong WK. Hepatocellular carcinoma with metastasis to the skull base, pituitary gland, sphenoid sinus, and cavernous sinus. Hong Kong Med J 2002; 8: 48-51.
De Merlier Y, Duprez T, Maiter D, Cosnard G. MR features of pituitary metastases in two patients with central diabetes insipidus. Acta Neurol Belg 1996; 96: 141-142.
Leramo OB, Booth JD, Zinman B, Bergeron C, Sima AA, Morley TP. Hyperprolactinemia, hypopituitarism, and chiasmal compression due to carcinoma metastatic to the pituitary. Neurosurgery 1981; 8: 477-480.
Chandra V, McDonald LW, Anderson RJ. Metastatic small cell carcinoma of the lung presenting as pituitary apoplexy and Cushing’s syndrome. J Neurooncol 1984; 2: 59-66.
Freda PU, Wardlaw SL, Post KD. Unusual causes of sellar/parasellar masses in a large transsphenoidal surgical series. J Clin Endocrinol Metab 1996; 81: 3455-3459.
Abe T, Matsumoto K, Iida M, Hayashi M, Sanno N, Osamura RY. Malignant carcinoid tumor of the anterior mediastinum metastasis to a prolactin-secreting pituitary adenoma: a case report. Surg Neurol 1997; 48: 389-394.