Box 1.

Clinical features and precipitating factors of pituitary apoplexy

Clinical features of pituitary apoplexy12
Sudden-onset headache
Vomiting
Meningism
Reduced visual acuity
Ophthalmoplegia
Reduced consciousness
Precipitating factors for pituitary apoplexy12
Hypertension
Major surgery
Coronary artery bypass grafting
Dynamic testing of pituitary
Anticoagulation therapy
Pregnancy
Head trauma
Initiation of oestrogen therapy