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
相关论文
共 50 条
  • [41] A case of pituitary apoplexy presented with isolated complete oculomotor nerve palsy
    Leelawai, Sumonthip
    Sanghan, Nuttha
    Setthawatcharawanich, Suwanna
    Korathanakhun, Pat
    Amornpojnimman, Thanyalak
    Sathirapanya, Pornchai
    NEUROLOGY ASIA, 2024, 29 (01) : 273 - 276
  • [42] Afferent and Efferent Pupillary Defect With a Right Cranial Nerve Sixth Palsy (the Parkinson Sign) as the Presenting Symptom of Pituitary Apoplexy
    Ali, Amir
    Raviskanthan, Subahari
    Mortensen, Peter W.
    Lee, Andrew G.
    JOURNAL OF NEURO-OPHTHALMOLOGY, 2022, 42 (04) : E586 - E587
  • [43] Recovery of Cranial Nerve Deficits in Patients Presenting with Pituitary Apoplexy: A Case Series
    Alahmari, Mohammed
    Alkherayf, Fahad
    Lasso, Andrea
    Banaz, Fatmahalzahra
    Mohajeri, Sepideh
    Masoudian, Pourya
    Lamothe, Andre
    Agbi, Charles
    Caulley, Lisa
    Alshardan, Mohammad
    Kilty, Shaun
    JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE, 2022, 83 : E1 - E6
  • [44] Sphenoid sinus mucocele presenting as a third cranial nerve palsy
    Vaphiades, MS
    Roberson, GH
    JOURNAL OF NEURO-OPHTHALMOLOGY, 2005, 25 (04) : 293 - 294
  • [45] A pediatric case of pituitary macroadenoma presenting with pituitary apoplexy and cranial nerve involvement: case report
    Ozcetin, Mustafa
    Karaci, Mehmet
    Toroslu, Ertug
    Edebali, Nurullah
    TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS, 2016, 51 (03): : 162 - 165
  • [46] Pituitary Macroadenoma Manifesting as an Isolated Third Nerve Palsy
    Koskderelioglu, Asli
    Celebisoy, Nese
    JOURNAL OF NEUROLOGICAL SCIENCES-TURKISH, 2009, 26 (01): : 102 - 105
  • [47] Cases of Stroke Presenting With an Isolated Third Nerve Palsy
    Indraswari, Fransisca
    Mukharesh, Loulwah
    Burger, Kathleen M.
    Leon Guerrero, Christopher R.
    STROKE, 2021, 52 (02) : E58 - E60
  • [48] Acute third cranial nerve palsy from a third cranial nerve schwannoma presenting as a saccular aneurysm on three-dimensional computed tomography angiography
    Chewning, Rush H.
    Sasson, A. Daniel
    Jordan, Lori C.
    Tamargo, Rafael J.
    Gailloud, Philippe
    JOURNAL OF NEUROSURGERY, 2008, 108 (05) : 1037 - 1037
  • [49] Isolated third cranial nerve palsy: a rare presentation of neurocysticercosis
    Ranjith, M. P.
    Divya, R.
    Sahni, A.
    IRISH JOURNAL OF MEDICAL SCIENCE, 2011, 180 (04) : 905 - 907
  • [50] Isolated third cranial nerve palsy: a rare presentation of neurocysticercosis
    M. P. Ranjith
    R. Divya
    A. Sahni
    Irish Journal of Medical Science, 2011, 180 : 905 - 907
12345