A Decrease In Visual Acuity Revealing A Pituitary Apoplexy

Joumany Brahim Salem, Sidi Dahi, Mahdi Khammaily, Wafa Akioud, Yassine Mouzari, Karim Reda and Abdelbarre Oubaaz
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Joumany Brahim Salem: Military Hospital of Instruction Mohammed V, Morocco
Sidi Dahi: Mohammed V Military Instruction Hospital, Morocco.
Mahdi Khammaily: Mohammed Military Instruction Hospital V, Morocco
Wafa Akioud: Mohammed V Military Instructional Hospital, Morocco
Yassine Mouzari: Military Hospital of Instruction Mohammed V, Morocco
Karim Reda: Military Hospital of Instruction Mohammed V, Morocco
Abdelbarre Oubaaz: Military Hospital of Instruction Mohammed V, Morocco

European Journal of Medical and Health Sciences, 2020, vol. 2, issue 3

Abstract: Pituitary apoplexy is caused by an infarction or a hemorrhage in a pituitary adenoma. It is a very serious but rare accident. We present the case of a 28-year-old patient with no specific history who had experienced severe acute headache and a sudden decrease in visual acuity. Clinical examination showed a VA with negative light perception on the right and 1/10 on the left , bilateral aréflective mydriasis ODG, ocular motility preserved bilaterally, with normal FO in both eyes. An emergency CT scan of the brain reveals a giant intra-sellar pituitary adenoma and a hemorrhagic area in it’s center evoking a picture of pituitary apoplexy.

Keywords: Index Terms: Pituitary apoplexy; Visual loss; Ocular motor nerve palsies (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:epw:ejmed0:v:2:y:2020:i:3:id:40302

DOI: 10.24018/ejmed.2020.2.3.302

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