Year: 2025
Type: article
Study design: Case Report
Abstract: Pituitary apoplexy is an acute infarction or hemorrhage of the pituitary gland. It represents a rare mode of presentation for pituitary macroadenomas, typically non-functioning. We report a case of 65-year-old patient with a history of intracranial hypertension syndrome evolving over two years, associated with a progressive decrease in visual acuity leading to bilateral blindness. The patient presented to the emergency department with sudden-onset right hemiplegia and blindness. An emergency brain CT scan, complemented by MRI, revealed apoplexy of a pituitary macroadenoma. Given the ophthalmological impact, the adenoma was surgically removed via a transsphenoidal approach in neurosurgery. The patient was also started on hormone replacement therapy. The outcome was favorable, with complete recovery of visual acuity.
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4411040332