Pituitary apoplexy pathophysiology: Difference between revisions

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Pituatry apoplexy is caused by bleeding into the pituitary gland. Most often it occurs in a pituitary adenoma.
Pituatry apoplexy is caused by bleeding into the pituitary gland. Most often it occurs in a pituitary adenoma. These adenomas have decreased blood supply as compared to normal pituitary gland. <ref name="pmid25859802">{{cite journal| author=Oldfield EH, Merrill MJ| title=Apoplexy of pituitary adenomas: the perfect storm. | journal=J Neurosurg | year= 2015 | volume= 122 | issue= 6 | pages= 1444-9 | pmid=25859802 | doi=10.3171/2014.10.JNS141720 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25859802  }} </ref>
These beingn tumors also have decreased angiogenesis. <ref name="pmid5055626">{{cite journal| author=Schechter J| title=Ultrastructural changes in the capillary bed of human pituitary tumors. | journal=Am J Pathol | year= 1972 | volume= 67 | issue= 1 | pages= 109-26 | pmid=5055626 | doi= | pmc=2032586 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=5055626  }} </ref> In addition, these vessels have fenestrated endothelium surrounded by a variable number of smooth muscle cells. which are not found in normal pituitary gland. <ref name="pmid3417848">{{cite journal| author=Schechter J, Goldsmith P, Wilson C, Weiner R| title=Morphological evidence for the presence of arteries in human prolactinomas. | journal=J Clin Endocrinol Metab | year= 1988 | volume= 67 | issue= 4 | pages= 713-9 | pmid=3417848 | doi=10.1210/jcem-67-4-713 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3417848  }} </ref>.


==References==
==References==

Revision as of 19:39, 19 July 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Pituatry apoplexy is caused by bleeding into the pituitary gland. Most often it occurs in a pituitary adenoma. These adenomas have decreased blood supply as compared to normal pituitary gland. [1] These beingn tumors also have decreased angiogenesis. [2] In addition, these vessels have fenestrated endothelium surrounded by a variable number of smooth muscle cells. which are not found in normal pituitary gland. [3].

References

  1. Oldfield EH, Merrill MJ (2015). "Apoplexy of pituitary adenomas: the perfect storm". J Neurosurg. 122 (6): 1444–9. doi:10.3171/2014.10.JNS141720. PMID 25859802.
  2. Schechter J (1972). "Ultrastructural changes in the capillary bed of human pituitary tumors". Am J Pathol. 67 (1): 109–26. PMC 2032586. PMID 5055626.
  3. Schechter J, Goldsmith P, Wilson C, Weiner R (1988). "Morphological evidence for the presence of arteries in human prolactinomas". J Clin Endocrinol Metab. 67 (4): 713–9. doi:10.1210/jcem-67-4-713. PMID 3417848.

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