Kayayurt Kamil, Gündogdu Ömer Lütfi, Yavaşi Özcan, Metin Yavuz, Ugras Erhan
Department of Emergency Medicine, Acıbadem University, School of Medicine, Istanbul, Turkey.
Department of Neurology, Recep Tayyip Erdogan University, Rize Research and Training Hospital, Rize, Turkey.
Am J Emerg Med. 2015 Oct;33(10):1539.e3-4. doi: 10.1016/j.ajem.2015.07.066. Epub 2015 Jul 30.
Pituitary apoplexy is a relatively rare condition. Cranial nerve palsies may develop due to compression of the surrounding structures by the rapidly expanding tumor. While the most commonly affected nerve is the oculomotor nerve, abducens nerve palsy may also occur less commonly. A 68-year-old male patient was admitted to the emergency department with complaints of severe headache, nausea, vomiting, and diplopia after head trauma due to falling. His magnetic resonance imaging evaluation demonstrated a large pituitary adenoma and bleeding into the tumor, which was acutely expanding and leading to compression of the abducens nerve laterally. Isolated abducens palsy due to posttraumatic pituitary apoplexy is a rare clinical condition, and as the symptoms and signs are nonspecific, it can commonly remain clinically undiagnosed. In this article, our aim was to draw attention to a clinical condition in which unfavorable complications may develop if the diagnosis is overlooked.
垂体卒中是一种相对罕见的病症。由于迅速增大的肿瘤对周围结构的压迫，可出现颅神经麻痹。虽然最常受累的神经是动眼神经，但外展神经麻痹也较少见。一名68岁男性患者因跌倒致头部外伤后，因严重头痛、恶心、呕吐和复视而入住急诊科。他的磁共振成像评估显示有一个大的垂体腺瘤并伴有肿瘤内出血，肿瘤正在急性扩大并导致外展神经向外侧受压。创伤后垂体卒中所致孤立性外展神经麻痹是一种罕见的临床病症，由于症状和体征不具特异性，临床上通常难以诊断。在本文中，我们旨在提醒注意一种若诊断被忽视可能会出现不良并发症的临床病症。
