Pituitary apoplexy presenting as acute painful isolated unilateral third cranial nerve palsy

被引：0
作者：
Kashkouli, Mohsen Bahmani [1 ]
Khalatbari, Mahmoud-Reza [2 ]
Yahyavi, Seyyed-Taha [2 ]
Borghei-Razavi, Hamid [2 ]
Soltan-Sanjari, Mostafa
机构：
[1] Iran Univ Med Sci, Rassoul Akram Hosp, Eye Res Ctr, Oculoplast Unit,Dept Ophthalmol, Tehran 14455364, Iran
[2] Iran Univ Med Sci, Rassoul Akram Hosp, Dept Neurosurg, Tehran 14455364, Iran
来源：
ARCHIVES OF IRANIAN MEDICINE | 2008年 / 11卷 / 04期
关键词：
pituitary apoplexy; ptosis; third nerve palsy;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 40-year-old man presented with a sudden severe headache and complete right-sided ptosis. Neuro-ophthalmic examination revealed a right oculomotor nerve palsy. Computed tomography of the brain showed a round isodense intrasellar mass. Magnetic resonance imaging demonstrated a pituitary tumor with some areas of infarction and invasion into the right cavernous sinus, which was diagnosed as pituitary apoplexy. The patient received intravenous steroid for 10 days with no recovery of the oculomotor nerve palsy. He underwent trans-sphenoid tumor resection followed by complete recovery of the oculomotor nerve and no sign of tumor in postoperative MRI, two weeks after the surgery.
引用
收藏
页码：466 / 468
页数：3
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