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A 47-year-old woman presented with headache, acute monocular vision loss, and ipsilateral Horner syndrome. Apart from the optic neuropathy, all cranial nerve function was intact. Magnetic resonance imaging revealed an enlarged pituitary gland with compression of the orbital apex. The surgical
Background. Pituitary apoplexy (PA) is a clinical syndrome caused by acute ischemic infarction or hemorrhage of the pituitary gland. The typical clinical presentation of PA includes acute onset of severe headache, visual disturbance, cranial nerve palsy, and altered level of consciousness. Case
Wall-eyed bilateral internuclear ophthalmoplegia (WEBINO) is a rare symptom. Several studies have reported that a small brainstem lesion could cause WEBINO.The authors present the case of an 88-year-old female individual who developed sudden-onset diplopia A 63-year-old man suddenly developed an isolated bilateral internuclear ophthalmoplegia (INO). High-resolution brain MRI showed signal abnormalities consistent with acute ischemic stroke limited to the infra-aqueductal region of the midbrain bilaterally. This case offers graphic evidence that stroke
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Whether conservative treatment or surgical management is the most appropriate treatment for pituitary apoplexy (PA) is controversial. In general, if severe symptoms of compression occur, such as oculomotor nerve palsy, neurosurgery is performed to relieve the compression of anatomical
We present a case series of clinically definite acute stroke with negative diffusion-weighted imaging (DWI). This study retrospectively examined a large population of stroke patients with the aim of identifying which stroke syndromes were more likely to be negative on MRI. Patient records and images
Clinical and spinal fluid evidence of aseptic meningitis were the sole features at presentation in a patient with pituitary apoplexy. Visual impairment and bitemporal field defects developed later. Necrosis within a chromophobe adenoma was found at surgical decompression of the sella.
Pituitary apoplexy with acute visual loss has to be considered as emergency operative indication. 3 cases presenting headache, rapid visual deterioration and ophthalmoplegia were operated upon from a transphenoidal approach. Immediate operative decompression proved to resolve the acutely evolved
To assess ophthalmic manifestations in patients with stroke and emphasize the importance of a formal screening for visual problems in stroke patients in hospital and rehabilitation settings.This was a cross-sectional study of 50 newly diagnosed patients