Isolated unilateral abducens cranial nerve palsy: a rare presentation of pituitary apoplexy.
OBJECTIVE
To describe a rare presentation of pituitary apoplexy as unilateral abducens nerve palsy demonstrating the various presentations of the condition.


METHODS
Case report.


RESULTS
A 48-year-old man presented with isolated right abducens nerve palsy. Magnetic resonance imaging showed a large pituitary macroadenoma with evidence of recent bleed into the right cavernous sinus and surrounding the right internal carotid artery.


CONCLUSIONS
Pituitary apoplexy may present subtly with an isolated sixth nerve palsy but the condition is critical and high index of suspicion needs to be governed.
Matti
Albert I
AI
Department of Ophthalmology, Flinders Medical Centre and Flinders University, South Australia, Australia.
Rudkin
Adam K
AK
Lee
Andrew W
AW
Chen
Celia S
CS
D020434:Abducens Nerve Diseases / Q000175:diagnosis*; D000236:Adenoma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010899:Pituitary Apoplexy / Q000175:diagnosis*; D010911:Pituitary Neoplasms / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed