A Decrease In Visual Acuity Revealing A Pituitary Apoplexy

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  •   Joumany Brahim Salem

  •   Sidi Dahi

  •   Mahdi Khammaily

  •   Wafa Akioud

  •   Yassine Mouzari

  •   Karim Reda

  •   Abdelbarre Oubaaz

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

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How to Cite
Brahim Salem, J., Dahi, S., Khammaily, M., Akioud, W., Mouzari, Y., Reda, K., & Oubaaz, A. (2020). A Decrease In Visual Acuity Revealing A Pituitary Apoplexy. European Journal of Medical and Health Sciences, 2(3). https://doi.org/10.24018/ejmed.2020.2.3.302