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Abrupt-onset oculomotor paralysis: an endocrine emergency
G Famularo1, C Pozzessere, G Piazza
1Department of Medical Sciences, San Camillo Hospital, Rome, Italy.
Summary
Pituitary apoplexy, a severe condition, can present with sudden vision problems. This case highlights abrupt oculomotor nerve paralysis as a key symptom, distinct from botulism.
Area of Science:
- Neurology
- Endocrinology
Background:
- Pituitary apoplexy is a rare endocrine emergency with diverse clinical manifestations.
- Early diagnosis and management are crucial for patient outcomes.
Observation:
- A 37-year-old male presented with sudden onset diplopia.
- Imaging revealed a sellar mass causing pituitary apoplexy and compression of cranial nerves III and VI.
Findings:
- The patient's symptoms did not improve with hydrocortisone.
- Surgical excision via a transsphenoidal approach resulted in an uneventful recovery.
Implications:
- This case underscores the importance of considering pituitary apoplexy in the differential diagnosis of acute cranial nerve palsies.
- Abrupt oculomotor nerve paralysis can be a presenting sign of pituitary apoplexy, mimicking conditions like botulism.