Post-partum pituitary apoplexy with bilateral third nerve palsy and bilateral carotid occlusion

J Clin Neurosci. 2010 Oct;17(10):1328-30. doi: 10.1016/j.jocn.2010.03.002. Epub 2010 Jun 29.


This study describes a patient with post-partum collapse secondary to pituitary apoplexy with bilateral carotid artery occlusion. A 29-year-old female, post delivery of a healthy child, presented with a Glasgow Coma Scale score of 3, fixed dilated pupils, complete ophthalmoplegia, and bilateral compression of the internal carotid arteries. These symptoms were due to a giant pituitary macroadenoma. She underwent a craniotomy and subsequently survived with minor cognitive deficits and functional vision. Bilateral carotid occlusion caused by pituitary apoplexy is rare, yet survival with only minor deficits is possible.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arterial Occlusive Diseases / complications*
  • Arterial Occlusive Diseases / diagnostic imaging
  • Brain / diagnostic imaging
  • Brain / pathology
  • Female
  • Humans
  • Magnetic Resonance Angiography / methods
  • Magnetic Resonance Imaging / methods
  • Oculomotor Nerve Diseases / complications*
  • Oculomotor Nerve Diseases / diagnostic imaging
  • Pituitary Apoplexy / complications*
  • Pituitary Apoplexy / diagnostic imaging
  • Tomography, X-Ray Computed / methods