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.
Department of Neurosurgery, Royal London Hospital, Whitechapel, London, UK. kelvin@doctors.org.uk
K K W
KK
Lau
S M
SM
Joshi
H
H
Ellamushi
F
F
Afshar
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