{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:12:18Z","timestamp":1698750738987},"reference-count":23,"publisher":"Akademiai Kiado Zrt.","issue":"38","license":[{"start":{"date-parts":[[2021,9,19]],"date-time":"2021-09-19T00:00:00Z","timestamp":1632009600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,9,19]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> Az agyalapimirigy-apoplexia ritka klinikai k\u00f3rk\u00e9p,\n                    mely hirtelen kialakult bev\u00e9rz\u00e9s vagy infarktus k\u00f6vetkezm\u00e9nyek\u00e9nt jelenik meg. A\n                    hypophysisadenom\u00e1s betegek 2\u201312%-\u00e1ban fordul el\u0151, a leggyakrabban funkcion\u00e1lisan\n                    inakt\u00edv daganatokban, de jelentkezhet gy\u00f3gyszeresen kezelt adenom\u00e1kban is.\n                    Klinikai k\u00e9pe hirtelen kialakul\u00f3 heves fejf\u00e1j\u00e1s, mely l\u00e1t\u00e1szavarral vagy kett\u0151s\n                    l\u00e1t\u00e1ssal t\u00e1rsulhat, de meningealis izgalmi jel, a tudati szint roml\u00e1sa is\n                    el\u0151fordulhat. A bev\u00e9rz\u00e9s miatt kialakult kortikotropinhi\u00e1ny kezel\u00e9s n\u00e9lk\u00fcl\n                    mell\u00e9kvese-el\u00e9gtelens\u00e9ghez vezet. A m\u00e1gneses rezonancia a komputertomogr\u00e1fhoz\n                    k\u00e9pest jobban kimutatja az adenoma bev\u00e9rz\u00e9s\u00e9t vagy ak\u00e1r infarktus\u00e1t.\n                    Retrospekt\u00edv tanulm\u00e1nyok a kor\u00e1bbi, azonnali idegseb\u00e9szeti beavatkoz\u00e1s helyett a\n                    konzervat\u00edv kezel\u00e9s l\u00e9tjogosults\u00e1g\u00e1t emelik ki. Orv Hetil. 2021; 162(38):\n                    1520\u20131525.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> Pituitary apoplexy is a rare clinical syndrome secondary to\n                    haemorrhage or infarction of pituitary adenoma. The prevalence is 2\u201312% of\n                    pituitary adenoma patients especially in nonfunctioning tumours but may be found\n                    in medically treated adenomas as well. Its clinical picture is sudden onset of\n                    headache with visual disturbances and\/or ocular palsy. Meningeal signs and\n                    altered consciousness can occur. Corticotropin deficiency if untreated can lead\n                    to adrenal insufficiency. Compared to computed tomography, magnetic resonance\n                    imaging better demonstrates the haemorrhage or even infarction of pituitary\n                    adenoma. Retrospective studies emphasize the wait-and-see management instead of\n                    the formerly considered urgent neurosurgical intervention. Orv Hetil. 2021;\n                    162(38): 1520\u20131525.<\/jats:p>","DOI":"10.1556\/650.2021.32209","type":"journal-article","created":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:09:26Z","timestamp":1633914566000},"page":"1520-1525","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Agyalapimirigy-apoplexia."],"prefix":"10.1556","volume":"162","author":[{"given":"L\u00e1szl\u00f3","family":"Sipos","sequence":"first","affiliation":[{"name":"1 Orsz\u00e1gos Ment\u00e1lis, Ideggy\u00f3gy\u00e1szati \u00e9s Idegseb\u00e9szeti Int\u00e9zet, Budapest, Amerikai \u00fat 57., 1145"},{"name":"2 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Idegseb\u00e9szeti Tansz\u00e9k, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolette","family":"Sz\u00fccs","sequence":"additional","affiliation":[{"name":"3 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati \u00e9s Onkol\u00f3giai Klinika, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"V\u00e1rallyay","sequence":"additional","affiliation":[{"name":"1 Orsz\u00e1gos Ment\u00e1lis, Ideggy\u00f3gy\u00e1szati \u00e9s Idegseb\u00e9szeti Int\u00e9zet, Budapest, Amerikai \u00fat 57., 1145"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 Bailey P. 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