Pituitary apoplexy in pediatric patients: systematic review
Introduction: Necrosis or hemorrhage associated with pituitary tumors is an infrequent complication. The term pituitary apoplexy is related to the development of an inflammatory process that leads to meningeal irritation and perielar areas. At the pediatric level, pituitary apoplexy is a very rare p...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/27984 |
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I10-R327-article-27984 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
pituitary diseases pituitary gland pituitary apoplexy neurosurgery enfermedades de la hipófisis hipófisis apoplejía hipofisaria neurocirugía doenças da hipófise hipófise apoplexia hipofisária neurocirurgia |
| spellingShingle |
pituitary diseases pituitary gland pituitary apoplexy neurosurgery enfermedades de la hipófisis hipófisis apoplejía hipofisaria neurocirugía doenças da hipófise hipófise apoplexia hipofisária neurocirurgia Picón Jaimes, Yelson Alejandro Orozco Chinome , Javier Esteban López Cepeda, Daniela Quintana Pájaro, Loraine Galindo-Velásquez, Hather Ramos-Villegas, Yancarlos Ripoll-Zapata, Vanessa Morales-Núñez, María Angélica Moscote Salazar , Luis Rafael Pituitary apoplexy in pediatric patients: systematic review |
| topic_facet |
pituitary diseases pituitary gland pituitary apoplexy neurosurgery enfermedades de la hipófisis hipófisis apoplejía hipofisaria neurocirugía doenças da hipófise hipófise apoplexia hipofisária neurocirurgia |
| author |
Picón Jaimes, Yelson Alejandro Orozco Chinome , Javier Esteban López Cepeda, Daniela Quintana Pájaro, Loraine Galindo-Velásquez, Hather Ramos-Villegas, Yancarlos Ripoll-Zapata, Vanessa Morales-Núñez, María Angélica Moscote Salazar , Luis Rafael |
| author_facet |
Picón Jaimes, Yelson Alejandro Orozco Chinome , Javier Esteban López Cepeda, Daniela Quintana Pájaro, Loraine Galindo-Velásquez, Hather Ramos-Villegas, Yancarlos Ripoll-Zapata, Vanessa Morales-Núñez, María Angélica Moscote Salazar , Luis Rafael |
| author_sort |
Picón Jaimes, Yelson Alejandro |
| title |
Pituitary apoplexy in pediatric patients: systematic review |
| title_short |
Pituitary apoplexy in pediatric patients: systematic review |
| title_full |
Pituitary apoplexy in pediatric patients: systematic review |
| title_fullStr |
Pituitary apoplexy in pediatric patients: systematic review |
| title_full_unstemmed |
Pituitary apoplexy in pediatric patients: systematic review |
| title_sort |
pituitary apoplexy in pediatric patients: systematic review |
| description |
Introduction: Necrosis or hemorrhage associated with pituitary tumors is an infrequent complication. The term pituitary apoplexy is related to the development of an inflammatory process that leads to meningeal irritation and perielar areas. At the pediatric level, pituitary apoplexy is a very rare pathology and little analyzed in the literature. Methods: We carry out a systematic review of cases published internationally. We performed the analysis of 8 cases published in the literature, 5 cases in the male pediatric population (62.5%), and 3 cases in the female gender (37.5%). Results: The mean age was 12.8 years (SD ± 2.5). The clinical manifestations included: headache, impaired vision, nausea and vomiting, fever, cranial nerve involvement and, to a lesser extent, compromise of the state of consciousness. 75% (n = 6) of the patients had headache, 16.6% had frontal localization, 16.6% had retroorbital pain, and 66.6% did not specify the location. On the other hand, only 37.5% of the patients presented nausea and / or vomiting. While 25% entered with fever and 12.5% (n = 1) they had changes in the state of consciousness. Conclusion: Pituitary apoplexy is a pathology that requires a multidisciplinary approach at the pediatric level, the management directed by neurosurgery and pediatric endocrinology will allow us to offer our patients the best, evidence-based treatment available. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/27984 |
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I10-R327-article-279842024-08-27T18:27:54Z Pituitary apoplexy in pediatric patients: systematic review Apoplejía hipofisaria en pacientes pediátricos: revisión sistemática Infarto da hipófise em pacientes pediátricos: revisão sistemática Picón Jaimes, Yelson Alejandro Orozco Chinome , Javier Esteban López Cepeda, Daniela Quintana Pájaro, Loraine Galindo-Velásquez, Hather Ramos-Villegas, Yancarlos Ripoll-Zapata, Vanessa Morales-Núñez, María Angélica Moscote Salazar , Luis Rafael pituitary diseases pituitary gland pituitary apoplexy neurosurgery enfermedades de la hipófisis hipófisis apoplejía hipofisaria neurocirugía doenças da hipófise hipófise apoplexia hipofisária neurocirurgia Introduction: Necrosis or hemorrhage associated with pituitary tumors is an infrequent complication. The term pituitary apoplexy is related to the development of an inflammatory process that leads to meningeal irritation and perielar areas. At the pediatric level, pituitary apoplexy is a very rare pathology and little analyzed in the literature. Methods: We carry out a systematic review of cases published internationally. We performed the analysis of 8 cases published in the literature, 5 cases in the male pediatric population (62.5%), and 3 cases in the female gender (37.5%). Results: The mean age was 12.8 years (SD ± 2.5). The clinical manifestations included: headache, impaired vision, nausea and vomiting, fever, cranial nerve involvement and, to a lesser extent, compromise of the state of consciousness. 75% (n = 6) of the patients had headache, 16.6% had frontal localization, 16.6% had retroorbital pain, and 66.6% did not specify the location. On the other hand, only 37.5% of the patients presented nausea and / or vomiting. While 25% entered with fever and 12.5% (n = 1) they had changes in the state of consciousness. Conclusion: Pituitary apoplexy is a pathology that requires a multidisciplinary approach at the pediatric level, the management directed by neurosurgery and pediatric endocrinology will allow us to offer our patients the best, evidence-based treatment available. Introducción: La necrosis o hemorragia asociada a tumores hipofisiarios es una complicación infrecuente. El termino apoplejía pituitaria está relacionado con el desarrollo de un proceso inflamatorio que conduce a irritación meníngea y de las zonas periselares. A nivel pediátrico, la apoplejía pituitaria es una patología muy rara y poco analizada en la literatura. Métodos: Realizamos una revisión sistemática de casos publicados a nivel internacional. Se realizo el análisis de 8 casos publicados en la literatura, 5 casos en población pediátrica masculina (62.5%), y 3 casos del género femenino (37.5%). Resultados: La media de edad fue de 12,8 años (DE ±2.5). Las manifestaciones clínicas abarcaron: cefalea, alteración en la visión, náuseas y vómitos, fiebre, compromiso de pares craneales y en menor medida compromiso del estado de conciencia. El 75% (n=6) de los pacientes cursó con cefalea, el 16.6% de localización frontal, 16.6% acompañado de dolor retroorbitario, y un 66.6% no especificaron la localización. Por otro lado, solo el 37.5% de los pacientes presentaron nauseas y/o vómitos. Mientras que un 25% ingresaron con fiebre y un 12.5% (n=1) tuvieron cambios en el estado de conciencia. Conclusión: La apoplejía pituitaria es una patología que requiere un abordaje multidisciplinario a nivel pediátrico, el manejo dirigido por neurocirugía y endocrinología pediátrica permitirá ofrecer a nuestros pacientes el mejor, tratamiento disponible basado en la evidencia. Introdução: Necrose ou hemorragia associada a tumores da hipófise é uma complicação incomum. O termo apoplexia hipofisária está relacionado ao desenvolvimento de um processo inflamatório que leva à irritação meníngea e áreas periselares. No nível pediátrico, a apoplexia hipofisária é uma patologia muito rara e pouco analisada na literatura. Métodos: Realizamos uma revisão sistemática de casos publicados internacionalmente. Foram analisados 8 casos publicados na literatura, 5 casos na população masculina pediátrica (62,5%) e 3 casos do sexo feminino (37,5%). Resultados: A idade média foi de 12,8 anos (DP ± 2,5). As manifestações clínicas incluíram: dor de cabeça, visão prejudicada, náusea e vômito, febre, comprometimento do nervo craniano e, em menor grau, comprometimento com o estado de consciência. 75% (n = 6) dos pacientes apresentaram cefaléia, 16,6% de localização frontal, 16,6% acompanhada de dor retroorbital e 66,6% não especificaram o local. Por outro lado, apenas 37,5% dos pacientes apresentaram náusea e / ou vômito. Enquanto 25% admitiram com febre e 12,5% (n = 1) tiveram alterações no estado de consciência. Conclusão: O acidente vascular encefálico hipofisário é uma patologia que requer uma abordagem multidisciplinar no nível pediátrico; o manejo dirigido pela neurocirurgia pediátrica e endocrinologia nos permitirá oferecer a nossos pacientes o melhor tratamento disponível baseado em evidências Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-06-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/27984 10.31053/1853.0605.v79.n2.27984 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 2 (2022); 141-145 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 2 (2022); 141-145 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 2 (2022); 141-145 1853-0605 0014-6722 10.31053/1853.0605.v79.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/27984/37471 https://revistas.unc.edu.ar/index.php/med/article/view/27984/37736 Derechos de autor 2022 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |