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Case Reports
Pituitary apoplexy after subtotal thyroidectomy in an acromegalic patient with a large goiter.
- K Kato, M Nobori, Y Miyauchi, M Ohnisi, S Yoshida, S Oya, S Tomita, and T Kino.
- Department of Internal Medicine, Asahi General Hospital, Chiba.
- Intern. Med. 1996 Jun 1; 35 (6): 472-7.
AbstractA case of pituitary apoplexy occurring after subtotal thyroidectomy in an acromegalic woman with a large adenomatous goiter is described. The patient had severe apnea because the large goiter was causing airway compression. Prior to the planned hypophysectomy, a subtotal thyroidectomy was performed to relieve tracheal stenosis. Shortly after the operation, the patient developed a headache that lasted for several days. The serum levels of growth hormone and somatomedin-C spontaneously normalized seventeen days after this episode and have remained normal for two years. Pituitary apoplexy was thought to have caused the observed results without deterioration of the pituitary function.
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