Pituitary Apoplexy Presenting with Isolated Third Nerve Palsy: A Rare Case Report

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1203-1207. doi: 10.1007/s12070-023-04221-2. Epub 2023 Sep 22.

Abstract

A 46-year-old female came to neurosurgery outpatient department with sudden onset of drooping of RE upper eyelid and restriction of movements in adduction, depression and elevation in right eye. Patient was a known case of diabetes mellitus whose blood sugar levels were deranged. On examination, patient was diagnosed pituitary macroadenoma. Patient was treated for her uncontrolled diabetes mellitus following which she had underwent transsphenoidal pituitary macroadenoma removal. On treatment, patient's ptosis had subsided and restriction of movement has resolved.

Keywords: Apoplexy; Cranial nerve palsies; Pituitary Macroadenoma; Posterior communicating artery; l Diabetes mellitus.