Mouhcine Y, Lahjouji O, Ouazzani H, Chaouche I, Akammar A, Bouardi N El, Alami B, Lamrani Y Alaoui, Maaroufi M, Boubbou M
Department of Mother and Child Radiology-Chu Hassan Ii, Sidi Mohammed Ben Abdellah University, Hrazem Hospital Center, P.O. Box 1835 Atlas, Fez, Morocco.
Department of Radiology, Chu Hassan Ii, Sidi Mohammed Ben Abdellah University, Hassan II Avenue, Fez 30050, Morocco.
Radiol Case Rep. 2025 Aug 16;20(11):5583-5589. doi: 10.1016/j.radcr.2025.07.066. eCollection 2025 Nov.
Pituitary apoplexy is an uncommon but potentially fatal syndrome of the pituitary gland, caused by ischemia, hemorrhage, or necrosis that can occur with or without a pre-existing pituitary neuroendocrine tumor (PitNET), as reported during pregnancy and in lymphocytic hypophysitis. We present in this paper a case of an 11-year-old girl with pituitary apoplexy. Our patient experienced sudden deterioration in her left eye vision and a headache. The ophthalmological examination reported a divergent strabismus. Brain imaging demonstrated an intra-suprasellar mass with hemorrhagic areas. This paper aims to summarize the key clinical symptoms and typical imaging findings of pituitary apoplexy, with the goal of facilitating early recognition and prompt initiation of appropriate therapy to preserve visual function.
垂体卒中是一种罕见但可能致命的垂体综合征，由缺血、出血或坏死引起，无论是否存在先前的垂体神经内分泌肿瘤（PitNET）均可发生，如在妊娠期间和淋巴细胞性垂体炎中所报道的那样。我们在本文中介绍了一例11岁患有垂体卒中的女孩。我们的患者左眼视力突然下降并伴有头痛。眼科检查报告为外斜视。脑部影像学检查显示鞍上有一个伴有出血区域的肿块。本文旨在总结垂体卒中的关键临床症状和典型影像学表现，目的是促进早期识别并及时启动适当治疗以保留视觉功能。
