Multiply recurrent pituitary apoplexy treated nonsurgically: illustrative case

Alexander P. Landry, Maíra Cristina Velho, Luma Ghalib, Daniel M. Prevedello · 2026

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Description

Alexander Landry, Maíra Velho, Luma Ghalib, and Daniel Prevedello report an 85-year-old woman whose pituitary bleeding struck three times in six years. Their 2026 case covers pituitary apoplexy, a sudden bleed or tissue death in a pituitary tumor. Each episode brought sharp headache but no nerve damage.

Given her age, mild symptoms, and own wishes, the team skipped surgery each time. Hormone replacement after the second episode covered her failing pituitary output. Repeated episodes of this kind are exceedingly rare, and guidance is thin. The authors warn that recurrence risk hides behind mild first presentations. For younger patients, they suggest weighing upfront surgery to dodge repeat bleeds. Better predictors of recurrence would sharpen such choices.

Catalog record

CREATORAlexander P. Landry, Maíra Cristina Velho, Luma Ghalib, Daniel M. Prevedello
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE15 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13681726

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