A possible mechanism of isolated oculomotor nerve palsy by apoplexy of pituitary adenoma without cavernous sinus invasion: a report of two cases

• Published in: Acta neurochirurgica Vol. 153; no. 12; pp. 2453 - 2456
• Main Authors: Kobayashi, Hiroyuki, Kawabori, Masahito, Terasaka, Shunsuke, Murata, Junichi, Houkin, Kiyohiro
• Format: Journal Article
• Language: English
• Published: Vienna Springer Vienna 01.12.2011; Springer Nature B.V
• Subjects: Adenoma; Adenoma - complications; Adenoma - diagnostic imaging; Adenoma - pathology; Aged, 80 and over; Case Report; Cavernous Sinus - diagnostic imaging; Cavernous Sinus - pathology; Computed tomography; Hemorrhage; Humans; Interventional Radiology; Magnetic resonance imaging; Male; Medicine; Medicine & Public Health; Middle Aged; Minimally Invasive Surgery; Neoplasm Invasiveness - diagnostic imaging; Neoplasm Invasiveness - pathology; Neurology; Neuroradiology; Neurosurgery; Oculomotor nerve; Oculomotor Nerve Diseases - diagnostic imaging; Oculomotor Nerve Diseases - etiology; Oculomotor Nerve Diseases - pathology; Paralysis; Pituitary; Pituitary Apoplexy - complications; Pituitary Apoplexy - diagnostic imaging; Pituitary Apoplexy - pathology; Pituitary Neoplasms - complications; Pituitary Neoplasms - diagnostic imaging; Pituitary Neoplasms - pathology; Radiography; Sinus; Surgical Orthopedics; Tumors; Cavernous Sinus; Oculomotor Nerve; Pituitary Adenoma; Pituitary Apoplexy; Pituitary Tumor

Isolated oculomotor nerve palsy occasionally occurs in patients with cavernous sinus invasion with or without pituitary apoplexy. We describe two cases of pituitary apoplexy without cavernous sinus invasion presenting with isolated oculomotor palsy. In both cases, computed tomography (CT) showed ero...