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Indian Journal of Otolaryngology and Head & Neck Surgery

22-09-2023 | Pituitary Apoplexy | Clinical Report

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

Authors: Prashant Punia, Ankit Patel, Sarang Gotecha, Apurva Lachake, Vinod Shinde, Ashish Chugh

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery

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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.
Literature
1.
Sujatha NRMP (2019) Etiology and clinical pattern of ocular motor nerve palsies. Int J Sci Res 8(12):62–63
2.
Azmeh A (2018) Neuro-Ophthalmology Findings in Pituitary Disease (Review of Literature). Pituitary Diseases
3.
Cano M, Lainez JM, Escudero J, Barcia C (1989) Pituitary adenoma presenting as painful intermittent third nerve palsy. Head J Head Face Pain 29(7):451–452 CrossRef
4.
Lau KK, Joshi SM, Ellamushi H, Afshar F (2007) Isolated bilateral oculomotor nerve palsy in pituitary apoplexy: case report and review. Br J Neurosurg 21(4):399–402 CrossRefPubMed
5.
Varma D, Tesha P, George N (2002) Acute painful third nerve palsy: the sole presenting sign of a pituitary adenoma. Eye 16(6):792–793 CrossRefPubMed
Metadata
Title
Pituitary Apoplexy Presenting with Isolated Third Nerve Palsy: A Rare Case Report
Authors
Prashant Punia
Ankit Patel
Sarang Gotecha
Apurva Lachake
Vinod Shinde
Ashish Chugh
Publication date
22-09-2023
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-023-04221-2