Sudden-Onset Headache and Binocular Vertical Diplopia in a Young Patient

Abstract

A 24-year-old woman presented with a 3-week history of sudden onset of headache, nausea, and binocular vertical diplopia. She denied any other neurologic symptoms. Her medical history included untreated hyperprolactinemia manifested by galactorrhea and oligomenorrhea. She did not take any medications, smoke, or drink alcohol.On examination, visual acuity was 20/20 in each eye. There was no relative afferent pupillary defect. There was minimal limitation in infraduction in the left eye with corresponding left hypertropia (Video), which was worse in left gaze and right head tilt. Ophthalmoscopy findings were normal in each eye. Visual field findings (Humphrey 24-2 algorithm) were normal in each eye as well. Diagnosis Pituitary apoplexyWhat to Do Next C. Order urgent computed tomography scan and computed tomography angiography of the brain Discussion

Error in Spelling of Author Name

“…The Original Investigation titled “Sudden-Onset Headache and Binocular Vertical Diplopia in a Young Patient,” published online April 7, 2022, was corrected to fix the spelling of the second author’s surname.…”