Bilateral thirl cranial nerve palsy due to pituitary apoplexy following coronary artery bypass surgery Koroner arter greft cerrahi̇si̇ sonrasi hi̇pofi̇z apopleksi̇si̇ne baǧli geli̇şen bi̇lateral 3. Krani̇al si̇ni̇r parali̇zi̇si̇
Anestezi Dergisi, cilt.18, sa.1, ss.60-62, 2010 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 1
- Basım Tarihi: 2010
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.60-62
- Anahtar Kelimeler: Cardiopulmonary bypass, Ophthalmoplegia, Pituitary apoplexy
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
Pituitary apoplexy after coronary artery bypass surgery is a very rare perioperative complication, caused by acute hemorrhage or infarction of the pituitary gland. It is with variable clinical presentations, including ophthalmoplegia, vision change, visual field deficit, endocrine deficit, mental status deterioration, or even coma. The successful management of pituitary apoplexy depends on early diagnosis and effective intervention. If decompression is delayed permanent visual damage and endocrinopathies may develop. We present 47 years old man who underwent coronary artery bypass graft surgery and developed third nerve palsy at early post operative period because of pituitary apoplexy and treated with surgical decompression.