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KMID : 0942820110100010020
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Journal of Korean Brain Tumor Society
2011 Volume.10 No. 1 p.20 ~ p.21
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Isolated Third Cranial Nerve Palsy with Ptosis Presented in Pituitary Apoplexy
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Lee Hyun-Goo
Noh Jae-Sub
Rhim Jong-Kook
Chung Bong-Sub
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Abstract
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Pituitary apoplexy is an acute ischemic or hemorrhagic vascular accident of a pituitary adenoma. Clinical features of pituitary apoplexy include sudden onset of headache, nausea, vomiting, visual symptoms, ptosis, altered mental status, and endocrinologic dysfunction. However, isolated third cranial nerve palsy with ptosis as the presenting sign of pituitary apoplexy is very rare. We describe one case of pituitary apoplexy presenting as sudden-onset unilateral ptosis and diplopia. So we suggest that pituitary apoplexy should be included in the differential diagnosis of patients presenting with isolated third cranial nerve palsy with ptosis and recommend that early surgical decompression should be considered for preservation of third cranial nerve.
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KEYWORD
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Pituitary apoplexy, Ptosis, Third cranial nerve palsy
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