The Challenge of Clinical and Surgical Management of An Acute Myocardial Infarction Simultaneously with An Acute Compressive Neurological Syndrome Due to Pituitary Adenoma: A Case Report
Journal Title: International Journal of Health & Medical Research - Year 2024, Vol 3, Issue 05
Abstract
The term acute coronary syndrome represents a group of signs and symptoms in a patient who exhibits clinical and/or laboratory evidence of the occurrence of acute myocardial ischemia. This concept encompasses acute myocardial infarction, which represents the most important cause of death in Brazil and the world. Pituitary adenomas, in turn, are benign tumors, and are among the most common intracranial tumors, corresponding to 9 to 15% of intracranial tumors detected in autopsy series, and in radiological series, they can reach up to 22 to 23%. of cases. This study is a case report of the simultaneous occurrence of an acute myocardial infarction and an acute compressive neurological syndrome, due to pituitary adenoma, both serious, and the challenges encountered in making medical decisions regarding treatment priority. In daily practice, differentiating between urgency and emergency can be complex. In the case in question, although neurological compression implied the risk of irreversible vision loss, the team decided to prioritize the cardiac approach, to the detriment of the immediate attempt to preserve vision. The decision considered the imminent risk of death due to hemodynamic instability due to any decompensation during the neurological procedure.
Authors and Affiliations
Mirian Silva dos Santos, Samantha Cristiane Lopes, Márcio José Paes, Paola de Lima
Keywords
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- EP ID EP741489
- DOI 10.58806/ijhmr.2024.v3i05n13
- Views 21
- Downloads 0
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