A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis

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

doi:2013.15.1.24

Ann Clin Neurophysiol > 2013 June;15(1) > Article
CASE REPORT
Ann Clin Neurophysiol. 2013; 15(1): 24-26. Published online June 30, 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, and 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

Corresponding Author: Sung Eun Kim ,Tel: +82-51-797-1190, Fax: +82-51-797-1191, Email: epidoc@inje.ac.kr

Received January 2, 2013 Accepted May 17, 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.

Key words: Pituitary apoplexy, Meningitis, Headache