Pituitary Apoplexy Without Chiasmal Compression Presenting With Radiographic Oculomotor Nerve Compression in a

Emily A Holz1, Manal Imran1, Nicole Reyes1

  • 1Internal Medicine, Florida International University Herbert Wertheim College of Medicine, Miami, USA.

Cureus
|July 31, 2026
PubMed
Summary

Pituitary apoplexy can present atypically, even without optic chiasm compression. This case shows oculomotor nerve compression from a prolactinoma extension, highlighting the need for broader clinical suspicion.