A Case Report on Pituitary Apoplexy

Abstract

Objective: To report a case of pituitary apoplexy presenting with unilateral ptosis and unilateral third nerve palsy in diabetic and hypertensive patient. Clinical Presentation and Intervention: A 50 years old man developed unilateral third nerve palsy. A pituitary macro adenoma with hemorrhagic and necrotic changes on MRI scan was resected by endoscopic transsphenoidal procedure. Third nerve palsy improved promptly and completely few hours postoperatively. Conclusion: This is a rare case of pituitary apoplexy that presented with unilateral third cranial nerve palsy recovered promptly after surgical excision of mass.

Isolated Sixth Cranial Nerve Palsy as Initial Presentation of Pituitary Apoplexy: A Case Report

“…IUANP can also be caused by neurovascular compression, which is a rare cause of the condition [ 15 ]. While most cases of IUANP experience spontaneous resolution, some require surgical treatment [ 15 ].…”

“…IUANP can also be caused by neurovascular compression, which is a rare cause of the condition [ 15 ]. While most cases of IUANP experience spontaneous resolution, some require surgical treatment [ 15 ]. A close evaluation of the neurovascular relationship is necessary to determine the cause of IUANP [ 15 ].…”

“…While most cases of IUANP experience spontaneous resolution, some require surgical treatment [ 15 ]. A close evaluation of the neurovascular relationship is necessary to determine the cause of IUANP [ 15 ].…”