Ocular Manifestation in Pituitary Apoplexy – a Case Report

Authors: M. Macháčková 1;  I. Látr 2;  D. Hejcmanová 1
Authors‘ workplace: Oční klinika LF UK a FN Hradec Králové, 2Neurochirurgická klinika LF UK a FN Hradec Králové 1
Published in: Cesk Slov Neurol N 2009; 72/105(5): 456-460
Category: Case Report


Pituitary apoplexy (PA) is a rare illness that arises upon acute bleeding into the hypophysis. This is a condition that is potentially life-threatening and is accompanied by various forms of neurological, endocrinological and neuroophtalmological symptoms. In the report the authors present a case of pituitary apoplexy in a 53-year-old male; one of his first symptoms was quickly developing paresis of the extraocular muscles accompanied by sudden development of diplopia, cephalalgy and disturbance of consciousness. The aim of this presentation was to demonstrate the problems associated with diagnosing this serious condition, which resembles subarachnoidal bleeding from a cerebral aneurysm due to its rapid onset and symptoms. Another aim was to examine the condition following one and a half year of monitoring.

Key words:
pituitary apoplexy – hypophysis adenoma – head nerves paralysis – subarachnoidal bleeding – Addisonian crisis – transnasal hypophysectomy


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Paediatric neurology Neurosurgery Neurology
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