Pituitary apoplexy. The importance of skull roentgenograms and computerized tomography in diagnosis
D. Fitz-Patrick, G. Tolis, E. E. McGarry and S. Taylor
In two patients with pituitary apoplexy, computerized tomograms
demonstrated a suprasellar mass that, after infusion with contrast medium,
showed a peripheral ring-like enhancement consistent with a pituitary
adenoma with central necrosis. In patients with symptoms or signs
suggesting subarachnoid hemorrhage or meningitis, the finding of an
enlarged sella turcica on plain skull roentgenograms should raise the
possibility of pituitary apoplexy. This diagnosis may be rapidly and safely
confirmed by computerized tomography.
