A Decrease In Visual Acuity Revealing A Pituitary Apoplexy | Zendy

Joumany Brahim Salem | Zendy; Sidi Dahi | Zendy; Mahdi Khammaily | Zendy; W. Akioud | Zendy; Yassine Mouzari | Zendy; Karim Reda | Zendy; Abdelbarre Oubaaz | Zendy

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A Decrease In Visual Acuity Revealing A Pituitary Apoplexy

Author(s) -

Joumany Brahim Salem,

Sidi Dahi,

Mahdi Khammaily,

W. Akioud,

Yassine Mouzari,

Karim Reda,

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.

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