Poster Presentation The Annual Scientific Meeting of the Endocrine Society of Australia and the Society for Reproductive Biology 2014

Recurrent pituitary apoplexy due to two successive tumours presenting with ophthalmoplegia and epistaxis (#226)

Stephanie L Teasdale 1 , Fahid Hashem 1 , Warrick Inder 2
  1. Department of Endocrinology, Gold Coast University Hospital, Southport, QLD, Australia
  2. Department of Diabetes and Endocrinology, Princess Alexandra Hospital, Brisbane, QLD, Australia

We describe a case of recurrent pituitary apoplexy, initially with haemorrhage into a non-functioning pituitary adenoma, and then five years later re-presented with what was found histologically to be a sellar malignant spindle and round cell neoplasm. Multiple pituitary tumours have previously been reported to coexist in the same individual, but to our knowledge this is the only case where the occurrence of two distinct de novo pituitary tumours have successively arisen in a single patient. This case is also unusual in its progressive ophthalmoplegia, including at one point a bilateral sixth nerve palsy, and in its presentation with epistaxis.

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