Apoplexy in Sellar Metastasis: A Case Report and Review of Literature

作者：Chhiber Sarbjit Singh^*; Bhat Abdul Rashid; Khan Shoukat H; Wani Mohd Afzal; Ramzan Altaf U; Kirmani Altaf R; Malik Nayel K; Wani Abrar A; Rather Tanveer

来源：Turkish Neurosurgery, 2011, 21(2): 230-234.

• Apoplexy
• Sellar metastasis
• Pituitary tumor
• Follicular carcinoma thyroid

Apoplexy in sellar metastasis is very rare with only a few case reports in literature. A case of apoplexy in sellar metastasis from follicular thyroid carcinoma is reported and the literature is briefly reviewed. The patient presented with sudden onset headache and bi-lateral loss of vision following thyroidectomy in a case of follicular carcinoma thyroid with proven sellar metastasis. CT scan showed hyperdense blood in sellar mass suggestive of apoplexy in sellar metastasis. The patient underwent early trans-sphenoidal decompression. Apoplexy in sellar metastasis, although very rare, can be clinico-radiologically indistinguishable from pituitary apoplexy and should be especially considered in the differential diagnosis of patients with known primary neoplastic disease. In view of similar patho-physiological mechanism, sellar metastasis with apoplexy should be managed in a similar manner as pituitary apoplexy.

• 出版日期2011-4
• 单位河北医科大学