Transsphenoidal diplopia.
A 46-year-old man developed a pupil-involving incomplete third cranial nerve palsy after undergoing transsphenoidal resection of a pituitary macroadenoma. A CT scan 1 week later revealed postoperative changes, with no new mass lesion, hemorrhage, or orbital fracture. The third cranial nerve palsy spontaneously improved over the ensuing week. Postoperative ocular motor palsy is an uncommon complication of transsphenoidal pituitary surgery. Neuro-imaging should be performed to exclude the presence of a new compressive lesion.
Foroozan
Rod
R
The Cullen Eye Institute, Neuro-Ophthalmology Service, Baylor College of Medicine, Houston, Texas, USA.
Bhatti
M Tariq
MT
Rhoton
Albert L
AL
D000236:Adenoma / Q000601:surgery; D003937:Diagnosis, Differential; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007016:Hypophysectomy / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D010911:Pituitary Neoplasms / Q000601:surgery; D011183:Postoperative Complications; D012075:Remission, Spontaneous; D013101:Sphenoid Sinus; D014057:Tomography, X-Ray Computed