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Published on: April 14, 2014
Nelson's syndrome presenting as bilateral oculomotor palsy
Abhay Gundgurthi1, Sandeep Kharb1, M K Garg1
1Department of Endocrinology, Army Hospital (Research and Referral), Delhi, Cantt, India.
Abstract:
Nelson's syndrome refers to a clinical spectrum arising from progressive enlargement of pituitary adenoma and elevated adrenocorticotrophic hormone after total bilateral adrenalectomy for Cushing's disease comprising of hyperpigmentation, visual field defects which can be life threatening. We report here a 50-year male presenting with rapid onset of Nelson's syndrome with an unusual finding of bilateral oculomotor palsy mistakenly treated as ocular myasthenia.
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