A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis

Kang Min Park; Yeon Mee Kim; Si Eun Kim; Kyong Jin Shin; Sam Yeol Ha; Jinse Park; Sung Eun Kim

doi:10.14253/kjcn.2013.15.1.24

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Park, Kim, Kim, Shin, Ha, Park, and Kim: A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis

Case Report

Korean J Community Nutr 2013;15(1):24-26.

Published online: 19 January 2013

DOI: https://doi.org/10.14253/kjcn.2013.15.1.24

A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis

Kang Min Park¹, Yeon Mee Kim², Si Eun Kim¹, Kyong Jin Shin¹, Sam Yeol Ha¹, Jinse Park¹, Sung Eun Kim¹

¹Departments of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

²Departments of Pathology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

Address for correspondence; Sung Eun Kim Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Haeundae-ro 875, Haeundae-gu, Busan 612-896, Korea Tel: +82-51-797-1190 Fax: +82-51-797-1191 E-mail: epidoc@inje.ac.kr

Received 2 January 201319 April 2013 Accepted 17 May 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We encountered a case of pituitary apoplexy who presented with isolated headache and vomiting without visual disturbance or ophthalmoplegia. The cerebrospinal fluid examination was compatible with aseptic meningitis. A computed tomography revealed slightly high density in the pituitary fossa and suprasella area, but the signal change was very faint. Our case suggests that clinicians should take into account the possibility of pituitary apoplexy without visual disturbance or ophthalmoplegia, when aseptic meningitis is suspected.

Keywords: Pituitary apoplexy, Meningitis, Headache

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Figure 1.

Brain computed tomography (CT) of pituitary apoplexy. CT reveals slightly high density in the pituitary fossa and suprasella area (arrow).

Figure 2.

The T1-weighted brain magnetic resonance imaging (MRI) of pituitary apoplexy. MRI shows acute and subacute hemorrhage within the pituitary gland compatible with pituitary apoplexy (arrow).

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