| Title |
Sudden Death from Pituitary Apoplexy in a Patient Presenting with an Isolated Sixth Cranial Nerve Palsy |
| Creator |
Warwar, Richard E.; Bhullar, Shaminder S.; Pelstring, Richard J.; Fadell, Richard J. |
| Affiliation |
Department of Surgery, Kettering Medical Center, Dayton, Ohio, USA. rwarwar@warwareyegroup.com |
| Abstract |
A 68-year-old diabetic, hypertensive man presented with a left sixth cranial nerve palsy. MRI demonstrated an inhomogeneous sellar mass encroaching on the left cavernous sinus. Two days later, a left third cranial nerve palsy developed. Within 24 hours, the patient went into cardiac arrest and died. An autopsy showed hemorrhage within a pituitary macroadenoma ("pituitary apoplexy"). Pituitary apoplexy should be considered a cause of acute isolated sixth cranial nerve palsy and may represent a life-threatening emergency that can be averted with emergent hormonal replacement and hypophysectomy. |
| Subject |
Abducens Nerve Diseases, complications; Abducens Nerve Diseases, diagnosis; Older people; Death, Sudden, etiology; Death, Sudden, pathology; Diagnosis, Differential; Fatal Outcome; Humans; Hypothalamus, pathology; Magnetic Resonance Imaging; Male; Pituitary Apoplexy, complications; Pituitary Apoplexy, diagnosis |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225563 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6hh9r4n/225563 |
