Abstract
Pituitary apoplexy is a rare clinical syndrome caused by acute hemorrhage or infarction of the pituitary gland. It is most frequently reported in men during the 5th and 6th decades of life and is rarely encountered in young women. We describe a 19-year-old woman who presented with acute visual disturbance accompanied by occasional mild headache. Ophthalmologic examination revealed bitemporal hemianopia, and head MRI demonstrated an intrasellar mass with suprasellar extension, intratumoral hemorrhage, and optic chiasm compression, consistent with pituitary macroadenoma with apoplexy. The patient also had a history of secondary amenorrhea, suggesting possible endocrine dysfunction. This case highlights the importance of considering pituitary apoplexy in young patients presenting with acute visual disturbances.
DOI
10.56808/2673-060X.5739
Recommended Citation
Aryawan, I Ketut and Jutamulia, Jovita
(2026)
"Pituitary Apoplexy in a 19-Year-Old Woman: An Uncommon Age and Gender Presentation,"
Chulalongkorn Medical Journal: Vol. 70:
Iss.
4, Article 5.
DOI: https://doi.org/10.56808/2673-060X.5739
Available at:
https://digital.car.chula.ac.th/clmjournal/vol70/iss4/5