Management
Seek specialist advice.
Without treatment, pituitary apoplexy is fatal within hours.
Initial medical treatment aims to stabilise the patient for neurosurgery:
- dexamethasone 6 mg i.v. 6-hourly
- circulatory and respiratory support
Surgical management involves transnasal decompression of the sella.
Survivors require life-long hormone replacement therapy because of the loss of pituitary function.
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