Article Details

2017 | July-September | Issue3
Pituitary Apoplexy presenting as Bilateral Ophthalmoplegia
Shrikant Deshpande, Priyanka Patkar, Prajakta Paritekar, Neha Dhiware, Rohit Kandalkar


Pituitary apoplexy is an endocrinological emergency, usually occurring in a pituitary adenoma and is caused by sudden onset hemorrhage and ischemic necrosis of the pituitary gland. Sudden-onset headache along with vomiting is the usual presenting feature. Signs of meningism, however, occur late and are not a characteristic feature. These may be associated with other neurological features like disturbances of consciousness, vertigo, and hemiparesis. Ocular features include marked reduction in the visual acuity with bitemporal hemianopia, diplopia, and ophthalmoplegia due to ocular motor nerve palsies. Acute pituitary apoplexy is unpredictable and should be considered in any patient with abrupt neuro-ophthalmological deterioration associated with headache. We report a unique case of pituitary apoplexy with bilateral total ophthalmoplegia having complete oculomotor nerve palsy in one eye and pupil-sparing oculomotor nerve palsy in the other.

Keywords: Bilateral ophthalmoplegia, Occulomotor nerve pals, Pituitary adenoma, Pituitary apoplexy.

How to cite this article: Deshpande S, Patkar P, Paritekar P, Dhiware N, Kandalkar R. Pituitary Apoplexy presenting as Bilateral Ophthalmoplegia. MGM J Med Sci 2017;4(3):139-142.

Source of support: Nil

Conflict of interest: None

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