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Infarto de la hipófisis - Treatment

Nombres alternativos

Apoplejía hipofisaria

Tratamiento:

El tratamiento para el infarto agudo puede requerir cirugía para aliviar la presión sobre la hipófisis y mejorar los síntomas visuales. Los casos severos necesitan cirugía de emergencia.

Es esencial realizar un tratamiento inmediato con un reemplazo hormonal suprarrenal (glucocorticoides). Igualmente, se reemplazarán otras hormonas como:

  • Hormonas sexuales (estrógenos/testosterona)
  • Hormona tiroidea

De igual manera, existe una creciente evidencia de la necesidad de reemplazo de la hormona del crecimiento.

Pronóstico:

El infarto agudo de la hipófisis puede ser mortal. El pronóstico es bueno para las personas con deficiencia crónica que se diagnostica y recibe tratamiento.

Posibles complicaciones:

Entre las complicaciones de un infarto de la hipófisis sin tratamiento están:

Si no ha habido restitución de otras hormonas faltantes, usted puede presentar problemas relacionados con hipotiroidismo e hipogonadismo.

Cuándo contactar a un profesional médico:

Consulte con el médico si presenta cualquier signo o síntomas de insuficiencia hipofisaria crónica.

Acuda a la sala de urgencias o llame al número de local emergencias (como el 911 en los Estados Unidos) si tiene síntomas de infarto agudo de la hipófisis, incluyendo:

  • Debilidad en el ojo
  • Dolor de cabeza
  • Presión arterial baja (que puede causar desmayo)
  • Náuseas
  • Vómitos

Tenga especial cuidado si desarrolla estos síntomas y ya le han diagnosticado un tumor hipofisario.

  • Reviewed last on: 11/23/2009
  • Ari S. Eckman, MD, Division of Endocrinology and Metabolism, Johns Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Melmed S, Kleinberg D. Anterior pituitary. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR. Williams Textbook of Endocrinology. 11th ed. Philadelphia, PA: Saunders Elsevier; 2008:chap 8.

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