An unusual case of hypopituitarism and recurrent cranial nerve palsies

Abstract

We report here the history of a 52-year old woman with diabetes mellitus for 10 years and secondary hypothyroidism (low TSH) who presented with chronic persistent headache for 6 years and sudden onset of complete blindness of 24 hours duration, admitted to our unit at National Hospital of Sri Lanka in July 2004 . On the first admission in 1998, a cranial CT scan demonstrated a lesion suggestive of a macroadenoma of the pituitary gland, with posterior extension of the tumour towards the petrous temporal bone (Figure 1). The tumour was not An unusual case of hypopituitarism and recurrent cranial nerve palsies BMAC Balasuriya,¹ NP Somasundaram² and R Gamage³ (Index words: Intracerebral vasculitis, magnetic resonance angiogram)