A case of atypical macroprolactinoma presenting with pituitary apoplexy during pregnancy and review of the literature

References

• Bi WL, Dunn IF, Laws ER. Pituitary apoplexy. Endocrine. 2015;48:69–75.
   PubMed Web of Science ®Google Scholar
• Randeva HS, Schoebel J, Byrne J, et al. Classical pituitary apoplexy: clinical features, management and outcome. Clin Endocrinol. 1999;51:181–188.
   PubMed Web of Science ®Google Scholar
• Capatina C, Inder W, Karavitaki N, et al. Management of endocrine disease: pituitary tumour apoplexy. Eur J Endocrinol. 2015;172:R179–90.
   PubMed Web of Science ®Google Scholar
• Piantanida E, Gallo D, Lombardi V, et al. Pituitary apoplexy during pregnancy: a rare, but dangerous headache. J Endocrinol Invest. 2014;37:789–797.
   PubMed Web of Science ®Google Scholar
• Fernandez A, Karavitaki N, Wass JA. Prevalence of pituitary adenomas: a community-based, cross-sectional study in Banbury (Oxfordshire, UK). Clin Endocrinol (Oxf). 2010;72:377–382.
   PubMed Web of Science ®Google Scholar
• Molitch ME. Diagnosis and treatment of pituitary adenomas: a review. JAMA. 2017;317:516–524.
   PubMed Web of Science ®Google Scholar
• Sarwar KN, Huda MSB, Van de Velde V, et al. The prevalence and natural history of pituitary hemorrhage in prolactinoma. J Clin Endocrinol Metab. 2013;98:2362–2367.
   PubMed Web of Science ®Google Scholar
• Boellis A, di Napoli A, Romano A, et al. Pituitary apoplexy: an update on clinical and imaging features. Insights Imaging. 2014;5:753–762.
   PubMedGoogle Scholar
• Sibal L, Ball SG, Connolly V, et al. Pituitary apoplexy: a review of clinical presentation, management and outcome in 45 cases. Pituitary. 2004;7:157–163.
   PubMedGoogle Scholar
• Cinar N, Tekinel Y, Dagdelen S, et al. Cavernous sinus invasion might be a risk factor for apoplexy. Pituitary. 2013;16:483–489.
   PubMed Web of Science ®Google Scholar
• Molitch ME. Endocrinology in pregnancy: management of the pregnant patient with a prolactinoma. Eur J Endocrinol. 2015;172:R205–13.
   PubMed Web of Science ®Google Scholar
• Rastogi A, Bhadada SK, Bhansali A. Pregnancy and tumor outcomes in infertile women with macroprolactinoma on cabergoline therapy. Gynecol Endocrinol. 2017;33:270–273.
   PubMed Web of Science ®Google Scholar
• Giritharan S, Gnanalingham K, Kearney T. Pituitary apoplexy - bespoke patient management allows good clinical outcome. Clin Endocrinol. 2016;85:415–422.
   PubMed Web of Science ®Google Scholar
• Dinc H, et al. Pituitary dimensions and volume measurements in pregnancy and post partum. MR assessment. Acta Radiol. 1998;39:64–69.
   PubMed Web of Science ®Google Scholar
• Molitch ME. Pituitary tumors and pregnancy. Growth Horm IGF Res. 2003;13 Suppl A:S38–S44.
   PubMed Web of Science ®Google Scholar
• Ohtsubo T, et al. A report of a transsphenoidal operation during pregnancy for a pituitary adenoma. No Shinkei Geka. 1991;19:867–870.
   PubMedGoogle Scholar
• Lunardi P, Rizzo A, Missori P, et al. Pituitary apoplexy in an acromegalic woman operated on during pregnancy by transphenoidal approach. Int J Gynaecol Obstet. 1991;34:71–74.
   PubMed Web of Science ®Google Scholar
• Freeman R, Wezenter B, Silverstein M, et al. Pregnancy-associated subacute hemorrhage into a prolactinoma resulting in diabetes insipidus. Fertil Steril. 1992;58:427–429.
   PubMed Web of Science ®Google Scholar
• Gondim J, et al. Minimally invasive pituitary surgery in a hemorrhagic necrosis of adenoma during pregnancy. Minim Invasive Neurosurg. 2003;46:173–176.
   PubMedGoogle Scholar
• Lee MS, Pless M. Apoplectic lymphocytic hypophysitis. Case report. J Neurosurg. 2003;98:183–185.
   PubMed Web of Science ®Google Scholar
• de Heide LJ, van Tol KM, Doorenbos B. Pituitary apoplexy presenting during pregnancy. Neth J Med. 2004;62:393–396.
   PubMed Web of Science ®Google Scholar
• Fujimaki T, Hotta S, Mochizuki T, et al. Pituitary apoplexy as a consequence of lymphocytic adenohypophysitis in a pregnant woman: a case report. Neurol Res. 2005;27:399–402.
   PubMed Web of Science ®Google Scholar
• Atmaca A, Dagdelen S, Erbas T. Follow-up of pregnancy in acromegalic women: different presentations and outcomes. Exp Clin Endocrinol Diabetes. 2006;114:135–139.
   PubMed Web of Science ®Google Scholar
• Gheorghiu M, Chirita C, Coculescu M. Partial remission of Nelson’s syndrome after pituitary apoplexy during pregnancy. Presented at Society for Endocrinology BES 2009, Harrogate, UK. Endocrine Abstracts 19 P191, 2009.
   Google Scholar
• Krull I, Christ E, Kamm CP, et al. Hyponatremia associated coma due to pituitary apoplexy in early pregnancy: a case report. Gynecol Endocrinol. 2010;26:197–200.
   PubMed Web of Science ®Google Scholar
• Parihar V, Yadav YR, Sharma D. Pituitary apoplexy in a pregnant woman. Ann Indian Acad Neurol. 2009;12:54–55.
   PubMed Web of Science ®Google Scholar
• Okafor UV, Onwuekwe IO, Ezegwui HU. Management of pituitary adenoma with mass effect in pregnancy: a case report. Cases J. 2009;2:9117.
   PubMedGoogle Scholar
• Ginath S, Golan A. Images in clinical medicine. Gestational pituitary-tumor apoplexy. N Engl J Med. 2010;363:e10.
   PubMed Web of Science ®Google Scholar
• Iuliano S, Laws ER. Management of pituitary tumors in pregnancy. Semin Neurol. 2011;31:423–428.
   PubMed Web of Science ®Google Scholar
• Tonda C, Rizvi AA. Headache, pituitary lesion and panhypopituitarism in a pregnant woman: tumor, apoplexy or hypophysitis? Am J Med Sci. 2011;342:247–249.
   PubMed Web of Science ®Google Scholar
• Murao K, Imachi H, Muraoka T, et al. Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome with pituitary apoplexy. Fertil Steril. 2011;96:260–261.
   PubMed Web of Science ®Google Scholar
• Bamfo JEAK, Sharif S, Donnelly T, et al. A case of pituitary apoplexy masquerading as hyperemesis gravidarum. J Obstet Gynaecol. 2011;31:662.
   PubMedGoogle Scholar
• Rosen S, Kharlip J. Pituitary apoplexy during pregnancy. Endocrine Society’s 93rd Annual Meeting & Expo, P1-438., 2011.
   Google Scholar
• Couture N, Aris-Jilwan N, Serri O. Apoplexy of a microprolactinoma during pregnancy: case report and review of literature. Endocr Pract. 2012;18:e147–e150.
   PubMedGoogle Scholar
• Kita D, et al. Postoperative diabetes insipidus associated with pituitary apoplexy during pregnancy. Neuro Endocrinol Lett. 2012;33:107–112.
   PubMed Web of Science ®Google Scholar
• Witek P, et al. Transsphenoidal surgery for a life-threatening prolactinoma apoplexy during pregnancy. Neuro Endocrinol Lett. 2012;33:483–488.
   PubMed Web of Science ®Google Scholar
• Janssen NM, Dreyer K, van der Weiden RM. Management of pituitary tumour apoplexy with bromocriptine in pregnancy. JRSM Short Rep. 2012;3:1.
   PubMedGoogle Scholar
• Chegour H, El Ansari N. Pituitary apoplexy during pregnancy. Pan Afr Med J. 2014;17:211.
   PubMedGoogle Scholar
• Tandon A, Alzate J, LaSala P, et al. Endoscopic endonasal transsphenoidal resection for pituitary apoplexy during the third trimester of pregnancy. Surg Res Pract. 2014;2014:397131.
   PubMedGoogle Scholar
• Hayes AR, O'Sullivan AJ, Davies MA. A case of pituitary apoplexy in pregnancy. Endocrinol Diabetes Metab Case Rep. 2014;2014:140043.
   PubMedGoogle Scholar
• Maghrabi A, Belalcazar L. Challenges in the management of pituitary apoplexy during pregnancy. In: Endocrine Society’s 96th Annual Meeting and Expo, Presentation Number: SAT-0698, 2014.
   Google Scholar
• Bedford J, Dassan P, Harvie M, et al. An unusual cause of headache in pregnancy. BMJ. 2015;351:h4681.
   PubMedGoogle Scholar
• De Ycaza AE, Chang AY, Jensen JR, et al. Approach to the management of rare clinical presentations of macroprolactinomas in reproductive-aged women. Case Rep Womens Health. 2015;8:9–12.
   PubMedGoogle Scholar
• Grand’Maison S, et al. Pituitary apoplexy in pregnancy: a case series and literature review. Obstet Med. 2015;8:177–183.
   PubMed Web of Science ®Google Scholar
• Watson V. An unexpected headache: pituitary apoplexy in a pregnant woman on anticoagulation. BMJ Case Rep. 2015;22:1–4.
   Google Scholar
• Querol Ripoll R, Cámara Gómez R, del Olmo García M, et al. Pituitary apoplexy in a pregnant woman with cystic microprolactinoma. Endocrinol Nutr. 2015;62:200–202.
   PubMedGoogle Scholar
• Abraham RR, Pollitzer RE ,Gokden M, et al. Spontaneous pituitary apoplexy during the second trimester of pregnancy, with sensory loss. BMJ Case Rep. 2016;16:1–4.
   Google Scholar
• Galvao A, Gonçalves D, Moreira M, et al. Prolactinoma and pregnancy - a series of cases including pituitary apoplexy. J Obstet Gynaecol. 2017;37:284–287.
   PubMedGoogle Scholar
• Annamalai AK, Jeyachitra G, Jeyamithra A, et al. Gestational pituitary apoplexy. Indian J Endocrinol Metab. 2017;21:484–485.
   PubMedGoogle Scholar
• O’Neal MA. Headaches complicating pregnancy and the postpartum period. Pract Neurol. 2017;17:191–202.
   PubMedGoogle Scholar
• Robbins MS, Farmakidis C, Dayal AK, et al. Acute headache diagnosis in pregnant women: a hospital-based study. Neurology. 2015;85:1024–1030.
   PubMed Web of Science ®Google Scholar
• O’Donovan PA, et al. Apoplexy into a prolactin secreting macroadenoma during early pregnancy with successful outcome. Case report. Br J Obstet Gynaecol. 1986;93:389–391.
   PubMedGoogle Scholar
• Lamberts SWJ, Klijn JGM, de Lange SA, et al. The incidence of complications during pregnancy after treatment of hyperprolactinemia with bromocriptine in patients with radiologically evident pituitary tumors. Fertil Steril. 1979;31:614–619.
   PubMed Web of Science ®Google Scholar
• Onesti ST, Wisniewski T, Post KD. Clinical versus subclinical pituitary apoplexy: presentation, surgical management, and outcome in 21 patients. Neurosurgery. 1990;26:980–986.
   PubMed Web of Science ®Google Scholar
• da Motta LA, de Mello PA ,de Lacerda CM, et al. Pituitary apoplexy. Clinical course, endocrine evaluations and treatment analysis. J Neurosurg Sci. 1999;43:25–36.
   PubMedGoogle Scholar
• Ayuk J, McGregor EJ, Mitchell RD, et al. Acute management of pituitary apoplexy-surgery or conservative management? Clin Endocrinol (Oxf). 2004;61:747–752.
   PubMed Web of Science ®Google Scholar