title: Nelson's syndrome presenting as bilateral oculomotor palsy.
abstract: Nelson's syndrome refers to a clinical spectrum arising from progressive enlargement of pituitary adenoma and elevated adrenocorticotrophic hormone after total bilateral adrenalectomy for Cushing's disease comprising of hyperpigmentation, visual field defects which can be life threatening. We report here a 50-year male presenting with rapid onset of Nelson's syndrome with an unusual finding of bilateral oculomotor palsy mistakenly treated as ocular myasthenia.
authors.affiliation: Department of Endocrinology, Army Hospital (Research and Referral), Delhi, Cantt, India.
authors.forename: Abhay
authors.initials: A
authors.lastname: Gundgurthi
authors.affiliation: Department of Endocrinology, Army Hospital (Research and Referral), Delhi, Cantt, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Kharb
authors.affiliation: Department of Endocrinology, Army Hospital (Research and Referral), Delhi, Cantt, India.
authors.forename: M K
authors.initials: MK
authors.lastname: Garg
authors.affiliation: Department of Endocrinology, Army Hospital (Research and Referral), Delhi, Cantt, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Brar
authors.affiliation: Department of Pathology, Army Hospital (Research and Referral), Delhi, Cantt, India.
authors.forename: Reena
authors.initials: R
authors.lastname: Bharwaj
authors.affiliation: Department of Neurosurgery, Army Hospital (Research and Referral), Delhi, Cantt, India.
authors.forename: H C
authors.initials: HC
authors.lastname: Pathak
authors.affiliation: Department of Neurosurgery, Army Hospital (Research and Referral), Delhi, Cantt, India.
authors.forename: Maneet
authors.initials: M
authors.lastname: Gill
keywords: Cushing's disease; Nelson's syndrome; oculomotor palsy