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Ischaemic pituitary tumour apoplexy and concurrent meningitis: a diagnostic dilemma
  1. Haris Hakeem1,
  2. Shayan Sirat Maheen Anwar2,
  3. Sarwar Jamil Siddiqui1
  1. 1Department of Neurology, Aga Khan University Hospital, Karachi, Pakistan
  2. 2Department of Radiology, Aga Khan University Hospital, Karachi, Pakistan
  1. Correspondence to Dr Haris Hakeem, haris.hakeem{at}


Pituitary tumour apoplexy is a rare but potentially life threatening clinical syndrome that mostly results from haemorrhage in the pre-existent tumour. Pure ischaemic subtype of apoplexy is even rarer. The presentation can be hard to differentiate clinically from bacterial meningitis. Moreover, the presence of one does not necessarily exclude the other and early diagnosis of both conditions is imperative for timely management. We report a case of ischaemic pituitary tumour apoplexy that may have precipitated in the setting of bacterial meningitis.

  • neuroimaging
  • headache (including migraines)
  • infection (neurology)
  • neurooncology
  • pituitary disorders
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  • Contributors Case was seen by HH and SJS. The idea to report this case was put forward by HH and SSMA to which SJS agreed. After the review of literature, initial draft was prepared by HH and SSMA which was then reviewed by SJS who suggested and made some changes. All the authors participated in case writing.

  • Competing interests None declared.

  • Patient consent Gaurdian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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