Journal of Adolescent Health
Volume 32, Issue 1 , Pages 89-93 , January 2003

Pituitary apoplexy after leuprolide injection for ovum donation

  • Gregory Engel, M.D.

      Affiliations

    • Corresponding Author InformationAddress correspondence to: Gregory Engel, M.D., Stanford University School of Medicine, Falk Bldg., CVRC, 300 Pasteur Drive, Stanford, CA 94305
    • Department of Internal Medicine, Stanford University School of Medicine, Stanford, California, USA (G.E., C.A.C.)
  • ,
  • Michelle Huston, M.D.

      Affiliations

    • Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA (M.H., S.O.)
  • ,
  • Sachie Oshima, M.D.

      Affiliations

    • Department of Emergency Medicine, Stanford University School of Medicine, Stanford, California, USA (M.H., S.O.)
  • ,
  • Carter Beck, M.D.

      Affiliations

    • Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA (C.B., G.H.)
  • ,
  • Griffith Harsh, M.D.

      Affiliations

    • Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA (C.B., G.H.)
  • ,
  • Myer H Rosenthal, M.D.

      Affiliations

    • Department of Anesthesiology Stanford University School of Medicine, Stanford, CA, USA (M.H.R.)
  • ,
  • Carlos A Camargo, M.D.

      Affiliations

    • Department of Internal Medicine, Stanford University School of Medicine, Stanford, California, USA (G.E., C.A.C.)

,Accepted 7 January 2002.

  • Image Result

    Changes in Serum Sodium During the First Week of Hospitalization.

    Changes in Serum Sodium During the First Week of Hospitalization.

  • Image Result

    Magnetic resonance imaging (MRI) scan demonstrating a pituitary macroadenoma with hemorrhage and infarction. The high resolution images show an expanded sella with a 1.5 × 2.5 × 2.7 cm intrasellar and

    Magnetic resonance imaging (MRI) scan demonstrating a pituitary macroadenoma with hemorrhage and infarction. The high resolution images show an expanded sella with a 1.5 × 2.5 × 2.7 cm intrasellar and suprasellar mass. (a) Non-contrast sagittal image demonstrates a rim of high signal (arrow) consistent with hemorrhage. (b) Post-contrast sagittal image demonstrates low central signal intensity (arrow) suggestive of a necrotic center.

PII: S1054-139X(02)00372-5

Journal of Adolescent Health
Volume 32, Issue 1 , Pages 89-93 , January 2003