The Pituitary Apoplexy Score (PAS) can be used to evaluate a patient with pituitary apoplexy. It can be used to help guide management. The authors are from the UK Pituitary Apoplexy Guidelines Development Group.
Patient selection: pituitary apoplexy
Parameters:
(1) Glasgow coma score (level of consciousness)
(2) visual acuity
(3) visual fields
(4) ocular paresis
|
Parameter |
Finding |
Points |
|
Glasgow coma score |
15 |
0 |
|
|
8 to 14 |
2 |
|
|
3 to 7 |
4 |
|
visual acuity |
normal |
0 |
|
|
reduced unilateral |
1 |
|
|
reduced bilateral |
2 |
|
visual fields |
normal |
0 |
|
|
unilateral defect |
1 |
|
|
bilateral defect |
2 |
|
ocular paresis |
none |
0 |
|
|
unilateral |
1 |
|
|
bilateral |
2 |
total PAS =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the more extensive the neuro-ophthalmic impairment.
Specialty: Endocrinology, Clinical Laboratory, Neurology, Immunology/Rheumatology
ICD-10: ,
