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Published on: June 2, 2014
55-year-old Woman with Headache, Vomiting, and Visual Disturbance
Lana Shaker1, Jill Ripper1, Tiffany Murano1
1Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey.
Case Presentation:
A 55-year-old woman with a past medical history of hypertension, hyperlipidemia, and iron deficiency anemia presented to the emergency department with three days of headache, nausea, vomiting, and visual changes. Her vital signs were within normal limits. She was noted to have a left cranial nerve six palsy on exam.
Results:
Her laboratory testing revealed leukocytosis, hyponatremia, and hypokalemia. A non-contrast computed tomography scan of the head revealed an enlarged sella turcica and pituitary gland with hemorrhage and deviation of the optic chiasm.
Conclusion:
Her symptoms improved and she was discharged from the hospital in stable condition.
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