2007•British Journal of NeurosurgeryRequires access

Isolated bilateral oculomotor nerve palsy in pituitary apoplexy: case report and review

Kwork-Wai Lau, Shweta Joshi, Habib Ellamushi, F. Afshar

Abstract

Pituitary tumours usually present with visual field defects; extraocular palsy is usually a sign of cavernous sinus extension and is a sign of advanced disease. We report a case of a pituitary adenoma presenting with complete, bilateral oculomotor nerve palsies, but minimal loss of visual fields, and intact abducens and trochlear nerves.

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Key concepts: Medicine, Abducens nerve, Pituitary apoplexy, Trochlear nerve, Oculomotor nerve, Cavernous sinus, Oculomotor nerve palsy, Pituitary adenoma