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Pituitary apoplexy precipitated by systemic chemotherapy (post-contrast coronal T1-weighted MRI)

MRI in a 31-year-old man with pituitary apoplexy precipitated by systemic chemotherapy shows a 2.0×2.8×2.1 cm sellar and suprasellar mass with upward displacement of the optic chiasm (white arrow) and internal blood products. The pituitary stalk and gland are displaced to the left, best seen on this postcontrast image. There is heterogeneous enhancement of the sellar and suprasellar mass. (Source: Hamrick FA, Findlay MC, Rennert RC, Budohoski KP, Couldwell WT. Pituitary apoplexy precipitated by systemic chemotherapy. Cureus 2022;14[3]:e23004. Creative Commons Attribution License [CC-BY 4.0].)

Associated Disorders

  • Acromegaly
  • Bleeding diatheses
  • Chromophobes
  • Cushing disease
  • Diabetes insipidus
  • Diabetes mellitus
  • Drug reactions
  • Gonadotropinomas
  • Head trauma
  • Hemolytic crises
  • Hypertension
  • Ischemic necrosis
  • Macroprolactinomas
  • Meningitis
  • Microprolactinomas
  • Pituitary macroadenoma
  • Pituitary microadenoma
  • Sheehan syndrome
  • Sickle cell disease
  • Temporal arteritis
  • Tuberculosis