Pituitary Apoplexy in a Cat With Presumed Acute Diabetes Insipidus

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Autores principales: Sureiyan Hardjo, Amber Giles, Kathleen Seddon, Christine E. Thomson
Formato: Artículo Open Access
Publicado: Wiley 2025
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author Sureiyan Hardjo
Amber Giles
Kathleen Seddon
Christine E. Thomson
author_facet Sureiyan Hardjo
Amber Giles
Kathleen Seddon
Christine E. Thomson
Sureiyan Hardjo
Amber Giles
Kathleen Seddon
Christine E. Thomson
collection Wiley Open Access
contents Pituitary Apoplexy in a Cat With Presumed Acute Diabetes Insipidus Sureiyan Hardjo Amber Giles Kathleen Seddon Christine E. Thomson Journal of Veterinary Emergency and Critical Care ABSTRACTObjectiveTo describe and discuss the unusual clinical presentation, novel imaging findings, and management of a cat with pituitary apoplexy and associated intraventricular hemorrhage.Case SummaryA 13‐year‐old neutered male domestic shorthair cat presented with semi‐comatose mentation and marked polyuria. The menace response and pupillary light and vestibuloocular reflexes were absent, while the corneal reflex was maintained. The cat also had sinus bradycardia, hypoventilation, and hypothermia, indicating a multifocal brain lesion. The urine was hyposthenuric (urine specific gravity 1.003), and with increasing hypernatremia, central diabetes insipidus was suspected. After approximately 2 h in the hospital, there was mild improvement in neurological deficits and vital parameters. Computed tomography revealed a pituitary tumor with intralesional and extensive extralesional parenchymal and intraventricular hemorrhage. The cat was euthanized at the owner's request due to the uncertainty of treatment duration and outcome.New or Unique Information ProvidedThis is the first reported case of suspected central diabetes insipidus in a dog or cat with PA and intraventricular hemorrhage; novel clinical and imaging findings are presented. 10.1111/vec.70004 http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Pituitary Apoplexy in a Cat With Presumed Acute Diabetes Insipidus
Sureiyan Hardjo
Amber Giles
Kathleen Seddon
Christine E. Thomson
Journal of Veterinary Emergency and Critical Care
Pituitary Apoplexy in a Cat With Presumed Acute Diabetes Insipidus Sureiyan Hardjo Amber Giles Kathleen Seddon Christine E. Thomson Journal of Veterinary Emergency and Critical Care ABSTRACTObjectiveTo describe and discuss the unusual clinical presentation, novel imaging findings, and management of a cat with pituitary apoplexy and associated intraventricular hemorrhage.Case SummaryA 13‐year‐old neutered male domestic shorthair cat presented with semi‐comatose mentation and marked polyuria. The menace response and pupillary light and vestibuloocular reflexes were absent, while the corneal reflex was maintained. The cat also had sinus bradycardia, hypoventilation, and hypothermia, indicating a multifocal brain lesion. The urine was hyposthenuric (urine specific gravity 1.003), and with increasing hypernatremia, central diabetes insipidus was suspected. After approximately 2 h in the hospital, there was mild improvement in neurological deficits and vital parameters. Computed tomography revealed a pituitary tumor with intralesional and extensive extralesional parenchymal and intraventricular hemorrhage. The cat was euthanized at the owner's request due to the uncertainty of treatment duration and outcome.New or Unique Information ProvidedThis is the first reported case of suspected central diabetes insipidus in a dog or cat with PA and intraventricular hemorrhage; novel clinical and imaging findings are presented. 10.1111/vec.70004 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Pituitary Apoplexy in a Cat With Presumed Acute Diabetes Insipidus
topic Journal of Veterinary Emergency and Critical Care
url https://onlinelibrary.wiley.com/doi/10.1111/vec.70004