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L'apoplexie hypophysaire (AH) est une complication postopératoire rare et imprévisible pouvant mettre en jeu le pronostic vital. Nous rapportons un cas survenu chez un patient de 62 ans opéré d'une cystoprostatectomie totale. Le tableau clinique initial qui associait une asthénie importante, des troubles de vigilance et des douleurs généralisées avait fait rechercher un accident vasculaire cérébral...