DR.DR. AISHWARYA B

DR. RAMAN YENUGANDULA, DR. AKSHATA KALSHETTY, DR. ARPITHA KALAVA

Abstract

Purpose:

To report case of pituitary apoplexy presenting with ocular symptoms in absence of known previous symptomatology

Method:

35 year old male presented with headache,decreased vision , LE ptosis ,diplopia ,outward deviation since 1 week:no history of trauma.

Examination revealed poor general condition;ptosis,ophthalmoplegia, decreased visual acuity,visual field defects.

Patient advised MRI brain.

In interim period patient used NSAID for 1 week which improved symptoms which was misleading the diagnosis

MRI brain with contrast-sellar lesion with suprasellar extension -likely pituitary macroadenoma/meningioma/craniopharyngioma

Endoscopic microscopic excision of tumor done biopsy confirming a pituitary adenoma; post which patient showed significant improvement in symptoms

Conclusion:

Pituitary apoplexy is medical emergency. It’s important to have early suspicion in stable patients with eye complaints as early detection/management are life saving and improve neuro ophthalmic outcome