nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2024-4-49-53nnp-2332Research ArticleCLINICAL OBSERVATIONSКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯPituitary apoplexy with acute complete bilateral third nerve palsy and papillary involvement: A case reportPituitary apoplexy with acute complete bilateral third nerve palsy and papillary involvement: A case reporthttps://orcid.org/0000-0002-7106-9799BahadoramM.BahadoramM.

School of Medicine; Department of Neurology

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

School of Medicine; Department of Neurology

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

https://orcid.org/0000-0002-5776-7945SadrianM.SadrianM.

School of Medicine; Department of Neurology

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

School of Medicine; Department of Neurology

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

https://orcid.org/0009-0009-5697-2961SharififardM.SharififardM.

School of Medicine; Department of Neurology

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

School of Medicine; Department of Neurology

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

https://orcid.org/0000-0001-7722-0165AkadeE.AkadeE.

School of Medicine; Department of Medical Virology

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

School of Medicine; Department of Medical Virology

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

https://orcid.org/0000-0001-9596-9882RasrasS.RasrasS.

Saleh Rasras

School of Medicine; Department of Neurosurgery

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

email address: salehrasras@ajums.ac.ir

School of Medicine; Department of Neurosurgery

Saleh Rasras

15794-61357; P.O. Box 159 Central Building Golestan Avenue; Ahvaz

email address: salehrasras@ajums.ac.ir

etermitant@protonmail.chAhvaz Jundishapur University of Medical SciencesИранAhvaz Jundishapur University of Medical SciencesIslamic Republic of Iran2024210820241644953Copyright © Bahadoram M., Sadrian M., Sharififard M., Akade E., Rasras S., 20242024Bahadoram M., Sadrian M., Sharififard M., Akade E., Rasras S.Bahadoram M., Sadrian M., Sharififard M., Akade E., Rasras S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/2332

   Pituitary apoplexy (PA) is a rare, potentially life-threatening condition primarily associated with pituitary adenomas. It presents with sudden, severe symptoms due to inadequate blood supply, bleeding, or tissue death in the pituitary gland. This case report describes a case of PA in a 40-year-old female, and reviews the recent literature surrounding the subject. The patient presented with complete bilateral third nerve palsy and dilated non-reactive pupils. Her initial symptoms included retroorbital headache, fever, and double vision, which rapidly progressed to oculomotor nerve palsy. MRI revealed hemorrhagic PA. High-dose steroids were initiated, leading to the resolution of ptosis. Additionally, surgical intervention was performed. PA typically affects older males with known adenomas, making this case unusual due to the patient's age, gender, and absence of prior adenoma history. Differentiating PA from other intracranial pathologies is crucial, and MRI plays a pivotal role in accurate diagnosis.

   Pituitary apoplexy (PA) is a rare, potentially life-threatening condition primarily associated with pituitary adenomas. It presents with sudden, severe symptoms due to inadequate blood supply, bleeding, or tissue death in the pituitary gland. This case report describes a case of PA in a 40-year-old female, and reviews the recent literature surrounding the subject. The patient presented with complete bilateral third nerve palsy and dilated non-reactive pupils. Her initial symptoms included retroorbital headache, fever, and double vision, which rapidly progressed to oculomotor nerve palsy. MRI revealed hemorrhagic PA. High-dose steroids were initiated, leading to the resolution of ptosis. Additionally, surgical intervention was performed. PA typically affects older males with known adenomas, making this case unusual due to the patient's age, gender, and absence of prior adenoma history. Differentiating PA from other intracranial pathologies is crucial, and MRI plays a pivotal role in accurate diagnosis.

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The authors declare that there are no conflicts of interest present.