Physician Resources

Pituitary Apoplexy: Lessons from Two Complex Cases

Live Webinar for Clinicians

Monday, September 15th | 3:30–4:30 PM | Virtual

Pituitary apoplexy is rare, dangerous, and demands rapid multidisciplinary action. Join Evan D. Bander, M.D., Alissa Kanaan, M.D., and Michael Fili, M.D. as they share two real-world cases — from sudden onset to diagnosis, endocrinologic stabilization, surgical intervention, and recovery.

What You’ll Learn:

• How to quickly recognize the signs of pituitary apoplexy
• Best practices for urgent hormone replacement before surgery
• Surgical strategies for optimal recovery
• Real patient outcomes that highlight teamwork across specialties

Case Highlights:

Case 1 – Post-Operative Surprise

A 62-year-old patient, hospitalized for aortic valve replacement, developed confusion and double vision in the post-operative period. Imaging revealed a hemorrhagic pituitary mass causing cranial nerve compression and pituitary hormone insufficiency. After endocrinology-guided hormonal stabilization, the patient underwent an endoscopic endonasal resection with decompression of the optic nerves. His recovery shows slow but steady improvement in cranial nerve function.

Case 2 – Known Tumor, Sudden Decline

A 76-year-old patient with atrial fibrillation on anticoagulation and a known pituitary macroadenoma presented with progressive weakness, confusion, headaches, vision loss, and ptosis. Imaging confirmed hemorrhage into the existing tumor. Following pre-operative hormone replacement, the patient underwent endoscopic endonasal resection with fat graft and lumbar drain placement. Despite a prolonged hospitalization, his follow-up demonstrated significant recovery in cognitive function, vision, and cranial nerve palsies.

Meet the Experts:

 

Don’t miss this opportunity to learn from complex cases that could transform your clinical decision-making.