Turkish Neurosurgery 2011 , Vol 21 , Num 2
Apoplexy in Sellar Metastasis: A Case Report and Review of Literature
Sarbjit Singh CHHIBER1, Abdul Rashid BHAT1, Shoukat H KHAN2, Mohd Afzal WANI1, Altaf U RAMZAN1, Altaf R KIRMANI1, Nayel K MALIK1, Abrar A WANI1, Tanveer RATHER2
1Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Neurosurgery, Srinager/ J&K, India
2Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Nuclear Medicine, Srinagar/ J&K, India
DOI : 10.5137/1019-5149.JTN.2716-09.1 Apoplexy in sellar metastasis is very rare with only a few case reports in literature. A case of apoplexy in sellar metastasis from follicular thyroid carcinoma is reported and the literature is briefly reviewed. The patient presented with sudden onset headache and bi-lateral loss of vision following thyroidectomy in a case of follicular carcinoma thyroid with proven sellar metastasis. CT scan showed hyperdense blood in sellar mass suggestive of apoplexy in sellar metastasis. The patient underwent early trans-sphenoidal decompression. Apoplexy in sellar metastasis, although very rare, can be clinico-radiologically indistinguishable from pituitary apoplexy and should be especially considered in the differential diagnosis of patients with known primary neoplastic disease. In view of similar patho-physiological mechanism, sellar metastasis with apoplexy should be managed in a similar manner as pituitary apoplexy. Keywords : Apoplexy, Sellar metastasis, Pituitary tumor, Follicular carcinoma thyroid
Corresponding author : Sarbjit Singh Chhřber, sarabjitchhiber@gmai.com