Open AccessA Decrease In Visual Acuity Revealing A Pituitary Apoplexy
Author(s) -
Joumany Brahim Salem,
Sidi Dahi,
Mahdi Khammaily,
Wafa Akioud,
Yassine Mouzari,
Rezaul Karim,
Abdelbarre Oubaaz
Publication year - 2020
Publication title -
european journal of medical and health sciences
Language(s) - English
Resource type - Journals
ISSN - 2593-8339
DOI - 10.24018/ejmed.2020.2.3.302
Subject(s) - pituitary apoplexy , medicine , pituitary adenoma , mydriasis , visual acuity , infarction , ophthalmology , neurological examination , surgery , radiology , adenoma , myocardial infarction
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.