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Pituitary apoplexy presenting as isolated third cranial nerve palsy: case series

Pituitary apoplexy (PA) is caused by a sudden increase in pressure in the pituitary region due to acute hemorrhage, infarction or necrosis. PA can also be caused by restricting blood supply to the nerve due to compression of the internal carotid artery. Acute third cranial nerve palsy (third CN) sec...

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Autores principales: Shrestha, Ramesh, Bishokarma, Suresh, Rayamajhi, Sushil, Shrestha, Sunita, Lamichhane, Saurav, Shrestha, Pratyush, Thulung, Suraj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398505/
https://www.ncbi.nlm.nih.gov/pubmed/36017525
http://dx.doi.org/10.1093/jscr/rjac386
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author Shrestha, Ramesh
Bishokarma, Suresh
Rayamajhi, Sushil
Shrestha, Sunita
Lamichhane, Saurav
Shrestha, Pratyush
Thulung, Suraj
author_facet Shrestha, Ramesh
Bishokarma, Suresh
Rayamajhi, Sushil
Shrestha, Sunita
Lamichhane, Saurav
Shrestha, Pratyush
Thulung, Suraj
author_sort Shrestha, Ramesh
collection PubMed
description Pituitary apoplexy (PA) is caused by a sudden increase in pressure in the pituitary region due to acute hemorrhage, infarction or necrosis. PA can also be caused by restricting blood supply to the nerve due to compression of the internal carotid artery. Acute third cranial nerve palsy (third CN) secondary to PA is a rare medical emergency caused by bleeding within a growing mass within the sella turcica. We presented two cases of PA with isolated third CN palsy treated with transsphenoidal pituitary decompression. PA is therefore an important differential diagnosis to consider in patients with isolated third nerve palsy. The prognosis for isolated third nerve palsy in PA appeared successful, with variable recovery from medical and surgical intervention.
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spelling pubmed-93985052022-08-24 Pituitary apoplexy presenting as isolated third cranial nerve palsy: case series Shrestha, Ramesh Bishokarma, Suresh Rayamajhi, Sushil Shrestha, Sunita Lamichhane, Saurav Shrestha, Pratyush Thulung, Suraj J Surg Case Rep Case Series Pituitary apoplexy (PA) is caused by a sudden increase in pressure in the pituitary region due to acute hemorrhage, infarction or necrosis. PA can also be caused by restricting blood supply to the nerve due to compression of the internal carotid artery. Acute third cranial nerve palsy (third CN) secondary to PA is a rare medical emergency caused by bleeding within a growing mass within the sella turcica. We presented two cases of PA with isolated third CN palsy treated with transsphenoidal pituitary decompression. PA is therefore an important differential diagnosis to consider in patients with isolated third nerve palsy. The prognosis for isolated third nerve palsy in PA appeared successful, with variable recovery from medical and surgical intervention. Oxford University Press 2022-08-23 /pmc/articles/PMC9398505/ /pubmed/36017525 http://dx.doi.org/10.1093/jscr/rjac386 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Shrestha, Ramesh
Bishokarma, Suresh
Rayamajhi, Sushil
Shrestha, Sunita
Lamichhane, Saurav
Shrestha, Pratyush
Thulung, Suraj
Pituitary apoplexy presenting as isolated third cranial nerve palsy: case series
title Pituitary apoplexy presenting as isolated third cranial nerve palsy: case series
title_full Pituitary apoplexy presenting as isolated third cranial nerve palsy: case series
title_fullStr Pituitary apoplexy presenting as isolated third cranial nerve palsy: case series
title_full_unstemmed Pituitary apoplexy presenting as isolated third cranial nerve palsy: case series
title_short Pituitary apoplexy presenting as isolated third cranial nerve palsy: case series
title_sort pituitary apoplexy presenting as isolated third cranial nerve palsy: case series
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398505/
https://www.ncbi.nlm.nih.gov/pubmed/36017525
http://dx.doi.org/10.1093/jscr/rjac386
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