Pituitary apoplexy presenting with isolated third nerve palsy

Tang Seng Fai, Yeap Thye Ghee, Umi Kalthum Md Noh, Jemaima Che Hamzah

Research output: Contribution to journalArticle

Abstract

We report a 61-year-old gentleman who presented with sudden onset of worsening headache, diplopia and blurring of vision on the left eye. Examination showed presence of relative afferent papillary defect, with visual acuity of 1/60 in the affected eye. Additionally, there was third nerve palsy with pupil involvement. An urgent MRI of the brain imaging confirmed hemorrhagic pituitary tumor with upward compression onto optic chiasma and the upper part of cavernous sinus. Emergency transphenoidal decompression resulted in significant improvement of neurological signs and vision.

Original languageEnglish
Pages (from-to)122-124
Number of pages3
JournalRawal Medical Journal
Volume40
Issue number1
Publication statusPublished - 2015

Fingerprint

Pituitary Apoplexy
Oculomotor Nerve Diseases
Optic Chiasm
Cavernous Sinus
Diplopia
Pituitary Neoplasms
Pupil
Decompression
Neuroimaging
Visual Acuity
Headache
Emergencies

Keywords

  • Pituitary apoplexy
  • Third nerve palsy
  • Transphenoidal decompression

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)

Cite this

Fai, T. S., Ghee, Y. T., Md Noh, U. K., & Che Hamzah, J. (2015). Pituitary apoplexy presenting with isolated third nerve palsy. Rawal Medical Journal, 40(1), 122-124.

Pituitary apoplexy presenting with isolated third nerve palsy. / Fai, Tang Seng; Ghee, Yeap Thye; Md Noh, Umi Kalthum; Che Hamzah, Jemaima.

In: Rawal Medical Journal, Vol. 40, No. 1, 2015, p. 122-124.

Research output: Contribution to journalArticle

Fai, TS, Ghee, YT, Md Noh, UK & Che Hamzah, J 2015, 'Pituitary apoplexy presenting with isolated third nerve palsy', Rawal Medical Journal, vol. 40, no. 1, pp. 122-124.
Fai, Tang Seng ; Ghee, Yeap Thye ; Md Noh, Umi Kalthum ; Che Hamzah, Jemaima. / Pituitary apoplexy presenting with isolated third nerve palsy. In: Rawal Medical Journal. 2015 ; Vol. 40, No. 1. pp. 122-124.
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