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Case Report

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
Korean Journal of Clinical Neurophysiology 2013;15(1):24-26.
Published online: June 30, 2013
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: 2 January 2013   • Accepted: 17 May 2013
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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.

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