Affiliation:
1. Department of Neurosurgery, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences , Kathmandu 44600, Nepal
Abstract
Abstract
Pituitary apoplexy (PA) is caused by a sudden increase in pressure in the pituitary region due to acute hemorrhage, infarction or necrosis. PA can also be caused by restricting blood supply to the nerve due to compression of the internal carotid artery. Acute third cranial nerve palsy (third CN) secondary to PA is a rare medical emergency caused by bleeding within a growing mass within the sella turcica. We presented two cases of PA with isolated third CN palsy treated with transsphenoidal pituitary decompression. PA is therefore an important differential diagnosis to consider in patients with isolated third nerve palsy. The prognosis for isolated third nerve palsy in PA appeared successful, with variable recovery from medical and surgical intervention.
Publisher
Oxford University Press (OUP)
Reference21 articles.
1. Pituitary tumor apoplexy: characteristics, treatment, and outcomes;Verrees;Neurosurg Focus,2004
2. Classical pituitary apoplexy: clinical features, management and outcome;Randeva;Clin Endocrinol (Oxf),1999
3. Prevalence of pituitary adenomas: a community-based, cross-sectional study in Banbury (Oxfordshire, UK);Fernandez;Clin Endocrinol (Oxf),2010
4. Incidence of pituitary adenomas in Northern Finland in 1992-2007;Raappana;J Clin Endocrinol Metab,2010
5. Isolated third cranial nerve palsy in pituitary apoplexy: case report and systematic review;Rosso;J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc,2021
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献