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Case Report
Online Published: 01 Mar 2015
 
RMJ. 2015; 40(1): 122-124


Pituitary apoplexy presented With Isolated Third Nerve Palsy

Tang Seng Fai, Yeap Thye Ghee, Umi Kalthum Md Noh, Jemaima Che Hamzah.


Abstract
Pituitary apoplexy is caused by acute infarction or haemorrhage infarctionof pre-existing pituitary adenoma or tissue adjacent. Its presentation varied from neurological impairment to various degree of endocrine dysfunction. Isolated third cranial nerve palsy as a presenting sign in pituitary apoplexy is rare. We report a case of pituitary apoplexy presenting as isolated third nerve palsy and ipsilateral visual deterioration. Brain imaging confirmed haemorrhagic pituitary tumour with upward compression onto optic chiasma and the upper part of cavernous sinus. Emergency transphenoidal decompression was performed with significant improvement of neurological signs and vision. Prompt diagnosis and intervention of such cases is crucial for patients’ recovery.

Key words: Third nerve palsy, pituitary apoplexy, transphenoidal decompression


 
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How to Cite this Article
Pubmed Style

Fai TS, Ghee YT, Noh UKM, Hamzah JC. Pituitary apoplexy presented With Isolated Third Nerve Palsy. RMJ. 2015; 40(1): 122-124.

Web Style

Fai TS, Ghee YT, Noh UKM, Hamzah JC. Pituitary apoplexy presented With Isolated Third Nerve Palsy. https://www.rmj.org.pk/?mno=171666 [Access: June 22, 2026].

AMA (American Medical Association) Style

Fai TS, Ghee YT, Noh UKM, Hamzah JC. Pituitary apoplexy presented With Isolated Third Nerve Palsy. RMJ. 2015; 40(1): 122-124.


Vancouver/ICMJE Style

Fai TS, Ghee YT, Noh UKM, Hamzah JC. Pituitary apoplexy presented With Isolated Third Nerve Palsy. RMJ. (2015), [cited June 22, 2026]; 40(1): 122-124.


Harvard Style

Fai, T. S., Ghee, . Y. T., Noh, . U. K. M. & Hamzah, . J. C. (2015) Pituitary apoplexy presented With Isolated Third Nerve Palsy. RMJ, 40 (1), 122-124.


Turabian Style

Fai, Tang Seng, Yeap Thye Ghee, Umi Kalthum Md Noh, and Jemaima Che Hamzah. 2015. Pituitary apoplexy presented With Isolated Third Nerve Palsy. Rawal Medical Journal, 40 (1), 122-124.


Chicago Style

Fai, Tang Seng, Yeap Thye Ghee, Umi Kalthum Md Noh, and Jemaima Che Hamzah. "Pituitary apoplexy presented With Isolated Third Nerve Palsy." Rawal Medical Journal 40 (2015), 122-124.


MLA (The Modern Language Association) Style

Fai, Tang Seng, Yeap Thye Ghee, Umi Kalthum Md Noh, and Jemaima Che Hamzah. "Pituitary apoplexy presented With Isolated Third Nerve Palsy." Rawal Medical Journal 40.1 (2015), 122-124. Print.


APA (American Psychological Association) Style

Fai, T. S., Ghee, . Y. T., Noh, . U. K. M. & Hamzah, . J. C. (2015) Pituitary apoplexy presented With Isolated Third Nerve Palsy. Rawal Medical Journal, 40 (1), 122-124.


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