tailieunhanh - Báo cáo khoa hoc:" Pituitary macroadenomas: are combination antiplatelet and anticoagulant therapy contraindicated? A case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pituitary macroadenomas: are combination antiplatelet and anticoagulant therapy contraindicated? A case report | Journal of Medical Case Reports BioMed Central Case report Open Access Pituitary macroadenomas are combination antiplatelet and anticoagulant therapy contraindicated A case report Tricia MM Tan 1 Carmela Caputo1 Amrish Mehta2 Emma CI Hatfield1 Niamh M Martin1 and Karim Meeran1 Address 1Endocrine Unit Hammersmith Hospitals NHS Trust Imperial College Faculty of Medicine London UK and 2Department of Radiology Hammersmith Hospitals NHS Trust Imperial College Faculty of Medicine London UK Email Tricia MM Tan - ttan@ Carmela Caputo - ccaputo@ Amrish Mehta - amehta@ Emma CI Hatfield - Niamh M Martin - Karim Meeran - Corresponding author Published 30 August 2007 Received 15 May 2007 Journal of Medical Case Reports 2007 1 74 doi 1752-1947-1-74 Accepted 30 August 2007 This article is available from http content 1 1 74 2007 Tan et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Pituitary apoplexy is a life-threatening endocrine emergency that is caused by haemorrhage or infarction of the pituitary gland commonly within a pituitary adenoma. Patients classically present with headache ophthalmoplegia visual field defects and altered mental state but may present with a typical symptoms such as fever and altered conscious level. Case presentation A 57-year-old female with a known pituitary macroadenoma was treated for suspected acute coronary syndrome with aspirin clopidogrel and full dose enoxaparin. She developed a severe and sudden headache nausea and vomiting and visual deterioration. A CT scan showed haemorrhage into the pituitary macroadenoma. She underwent neurosurgical