Isolated bilateral oculomotor nerve palsy in pituitary apoplexy: case report and review.
Pituitary tumours usually present with visual field defects; extraocular palsy is usually a sign of cavernous sinus extension and is a sign of advanced disease. We report a case of a pituitary adenoma presenting with complete, bilateral oculomotor nerve palsies, but minimal loss of visual fields, and intact abducens and trochlear nerves.
Lau
K K W
KK
Department of Neurosurgery, Royal London Hospital, Whitechapel, London, UK. kelvin@doctors.org.uk
Joshi
S M
SM
Ellamushi
H
H
Afshar
F
F
D000368:Aged; D005260:Female; D006801:Humans; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology*; D009802:Oculomotor Nerve / Q000601:surgery*; D009886:Ophthalmoplegia / Q000175:diagnosis / Q000209:etiology*; D010899:Pituitary Apoplexy / Q000175:diagnosis / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000150:complications* / Q000175:diagnosis; D016896:Treatment Outcome