Table 1

Comparison of patients with pituitary apoplexy with and without identified associated conditions

Associated condition n=9 (30%) No associated condition n=21 (70%) p Value
Sex4 women/5 men10 women/11 menNS
Mean age (range)59 y (21–82)48 y (22–90)NS
Known pituitary adenoma1 (11%)5 (23.8%)NS
Neuro-ophthalmic deficit:8 (88.8%)17 (81.1%)NS
 Headache9 (100%)21 (100%)NS
 Ophthalmoplegia6 (66.6%)11 (52.4%)NS
 Optic nerve compression4 (44%)7 (33%)NS
 Chiasmal visual field defect4 (44%)10 (47.6%)NS
Altered mental status5 (55%)4 (19%)<0.05
Systemic hypertension5 (55%)8 (38%)NS
Neuroimaging:
 Haemorrhage6 (66.6%)9 (42.8%)NS
 Infarction3 (33.3%)12 (57.1%)NS
Prognosis:
 Death00NS
 Unknown2 (22.2%)7 (33.3%)NS
 Pituitary dysfunction5/9 (55.5%)11/21 (52.4%)NS
 Complete recovery2/7 (28.5%)10/14 (71%)0.06
 Neurological sequelae1/7 (14.3%)0 (0%)NS
 Neuro-ophthalmic sequelae5/7 (71.4%)2/14 (14.3%)<0.01
  Ophthalmoplegia1/6 (16.6%)2/11 (18.2%)NS
  Severe optic neuropathy3/4 (75%)1/7 (14.3%)<0.05
  Visual field defect4/4 (100%)2/10 (20%)<0.01
Mean delay in diagnosis (range)5.5 days (1–14)5.6 days (1–14)NS
Mean delay in treatment (range)2.2 days [0–7]2.2 days (0–)]NS
  • p Calculated using χ2 and Student'st tests.