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British Journal of Neurosurgery Volume 21, 2007 - Issue 4
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Short Report

Isolated bilateral oculomotor nerve palsy in pituitary apoplexy: case report and review

K. K. W. Lau Department of Neurosurgery, Royal London Hospital, Whitechapel, London, UKCorrespondence[email protected]
,
S. M. Joshi Department of Neurosurgery, Royal London Hospital, Whitechapel, London, UK
,
H. Ellamushi Department of Neurosurgery, Royal London Hospital, Whitechapel, London, UK
&
F. Afshar Department of Neurosurgery, Royal London Hospital, Whitechapel, London, UK
Pages 399-402 | Received 01 Dec 2006, Accepted 30 May 2007, Published online: 06 Jul 2009
 
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Abstract

Pituitary tumours usually present with visual field defects; extraocular palsy is usually a sign of cavernous sinus extension and is a sign of advanced disease. We report a case of a pituitary adenoma presenting with complete, bilateral oculomotor nerve palsies, but minimal loss of visual fields, and intact abducens and trochlear nerves.

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