Blurred vision and diplopia in full term vaginal delivery women

Abstract

Pituitary apoplexy can be a life-threatening condition, which is not easily diagnosed or treated. Predisposing factors of pituitary apoplexy include bromocriptine treatment, head trauma, pregnancy, pituitary irradiation, anticoagulation. Apoplexy may occur during pregnancy with appropriately managed, visual symptoms often improve, but endocrinologic function may remain compromised. This case reported that 30-year-old female full term vaginal delivery after years of primary infertility presented in emergency department with headache and blurred vision and diplopia, CNS examination unremarkable except third cranial nerve palsy. In conclusion, pituitary apoplexy is a rare cause of sudden and severe attack of headache during pregnancy. A multidisciplinary team needs to reduce morbidity and mortality.