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Pituitary ischemic apoplexy in a young woman using oral contraceptives: a case report. | LitMetric
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Pituitary ischemic apoplexy in a young woman using oral contraceptives: a case report.

Junpei Kobayashi Kotaro Miyashita Tamiko Tamanaha Norikata Kobayashi Koji Iihara Kazuyuki Nagatsuka

J Stroke Cerebrovasc Dis

Division of Cerebrovascular Medicine, Department of Stroke and Cerebrovascular Diseases, National Cerebral and Cardiovascular Center, Osaka. Electronic address:

Published: November 2013

Estrogen is suggested to be one of the plausible risk factors for pituitary hemorrhagic apoplexy through pituitary hyperemia. We experienced a 33-year-old woman with pituitary ischemic apoplexy of a nonfunctional macroadenoma under oral contraceptive use. Our case indicates that hypercoagulable state, but not hyperemia, associated with estrogen may promote pituitary ischemic apoplexy.

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2013.03.030DOI Listing

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