Article

Post-partum pituitary apoplexy with bilateral third nerve palsy and bilateral carotid occlusion.

Department of Neurosurgery, Westmead Public Hospital, Hawkesbury Road, Westmead, New South Wales 2145, Australia.
Journal of Clinical Neuroscience (impact factor: 1.25). 10/2010; 17(10):1328-30. DOI:10.1016/j.jocn.2010.03.002 pp.1328-30
Source: PubMed

ABSTRACT This study describes a patient with post-partum collapse secondary to pituitary apoplexy with bilateral carotid artery occlusion. A 29-year-old female, post delivery of a healthy child, presented with a Glasgow Coma Scale score of 3, fixed dilated pupils, complete ophthalmoplegia, and bilateral compression of the internal carotid arteries. These symptoms were due to a giant pituitary macroadenoma. She underwent a craniotomy and subsequently survived with minor cognitive deficits and functional vision. Bilateral carotid occlusion caused by pituitary apoplexy is rare, yet survival with only minor deficits is possible.

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Keywords

bilateral carotid artery occlusion
 
dilated pupils
 
functional vision
 
Glasgow Coma Scale score
 
healthy child
 
post delivery
 
post-partum collapse secondary