Isolated bilateral oculomotor nerve palsy in pituitary apoplexy: case report and review

Br J Neurosurg. 2007 Aug;21(4):399-402. doi: 10.1080/02688690701480710.

Abstract

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Female
  • Humans
  • Nerve Compression Syndromes / diagnosis
  • Nerve Compression Syndromes / etiology*
  • Oculomotor Nerve / surgery*
  • Ophthalmoplegia / diagnosis
  • Ophthalmoplegia / etiology*
  • Pituitary Apoplexy / diagnosis
  • Pituitary Apoplexy / etiology*
  • Pituitary Neoplasms / complications*
  • Pituitary Neoplasms / diagnosis
  • Treatment Outcome