Isolated Sixth Cranial Nerve Palsy as Initial Presentation of Pituitary Apoplexy: A Case Report.

diplopia isolated cranial nerve palsy pituitary adenoma pituitary apoplexy sixth nerve palsy

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jun 2023
Historique:
accepted: 29 06 2023
medline: 1 8 2023
pubmed: 1 8 2023
entrez: 1 8 2023
Statut: epublish

Résumé

Pituitary apoplexy is a serious condition, which if left untreated, might lead to irreversible life-long complications. Hence, pituitary apoplexy should always be included in the differential diagnoses of a patient with an isolated sixth cranial nerve (CN) palsy. This report highlights the case of a patient presenting with isolated CN palsy associated with pituitary apoplexy. Although pituitary adenomas are common, they seldom present with isolated abducent nerve palsy without any other CN involvement. The 47-year-old female patient presented with acute right eye pain, diplopia, and a squint. Examination revealed an isolated unilateral sixth CN palsy. Brain MRI showed a sellar and suprasellar mass suggestive of hemorrhagic pituitary apoplexy. The patient was transferred to neurosurgery and underwent transsphenoidal resection of a pituitary macroadenoma. Postoperative follow-up showed clinical improvement. It is, thus, imperative for physicians to have the knowledge to recognize an isolated sixth cranial nerve palsy and its associated causes.

Identifiants

pubmed: 37525778
doi: 10.7759/cureus.41154
pmc: PMC10386906
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e41154

Informations de copyright

Copyright © 2023, Fadul et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Abdalla Fadul (A)

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

Gokhan Demir (G)

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

Mohammad Safieh (M)

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

Ahamed Lebbe (A)

Medicine, Hamad General Hospital, Doha, QAT.

Fatema Falamrz (F)

Medicine, Hamad General Hospital, Doha, QAT.

Ahmed T Alhassan (AT)

Anaesthesia, Hamad Medical Corporation, Doha, QAT.

ELMustafa Abdalla (E)

Internal Medicine, Hamad Medical Corporation, Doha, QAT.

Mohamed H Fadul (MH)

Faculty of Medicine, University of Khartoum, Khartoum, SDN.

Mohamed Elawad (M)

Radiology, Hamad General Hospital, Doha, QAT.

Raza A Akbar (RA)

Internal Medicine, Hamad General Hospital, Doha, QAT.

Classifications MeSH