Background: Cerebral infarction caused by pituitary apoplexy (PA) is rare. To characterize the clinical features of cerebral infarction caused by PA, we performed a systematic review. Summary: The clinical symptoms are mainly sudden headache, hemiplegia, visual impairment, disturbance of consciousness, and ophthalmalgia in patients with cerebral infarction caused by PA. Treatment for this type of infarction is different from treatment for general acute cerebral infarction. Compared to patients who underwent emergency surgery and conservative treatment, patients treated with delayed surgery showed a better prognosis and a lower mortality rate. Compared to patients who underwent craniotomy or conservative treatment, patients who underwent transsphenoidal surgery (TSS) not only improved well but also showed a lower mortality rate. Key Messages: PA rarely causes cerebral infarction, which is a critical condition with a poor prognosis and is more common in men. Delayed surgery and TSS appear to confer a better prognosis in patients with this condition.

中文翻译：

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垂体卒中导致脑梗塞：系统评价

背景：由垂体卒中（PA）引起的脑梗塞很少见。为了表征由 PA 引起的脑梗塞的临床特征，我们进行了系统评价。总结：PA引起的脑梗死患者的临床症状主要是突发性头痛、偏瘫、视力障碍、意识障碍、眼痛等。这类梗塞的治疗不同于一般急性脑梗塞的治疗。与接受急诊手术和保守治疗的患者相比，延迟手术治疗的患者预后更好，死亡率更低。与接受开颅手术或保守治疗的患者相比，接受经蝶窦手术（TSS）的患者不仅病情好转，而且死亡率更低。关键信息：PA很少引起脑梗塞，这是一种预后不良的危重疾病，在男性中更为常见。延迟手术和 TSS 似乎可以为患有这种疾病的患者带来更好的预后。