This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Ophthalmological Disorders, Other  • Alert me on articles by topic

Matthew J. Thurtell, MBBS, FRACP; Michael Besser, MBBS, FRACS; G. Michael Halmagyi, MD, FRACP

Arch Ophthalmol. 2008;126(4):576-578.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Pituitary apoplexy is a clinical syndrome that usually results from infarction of, or hemorrhage into, a pituitary macroadenoma. Typically, there is a rapid increase in tumor volume resulting in the abrupt onset of a variable combination of symptoms and signs that may include headache, meningismus, vomiting, visual loss, ophthalmoplegia, and stupor.¹ Many factors have been implicated as precipitants, including major surgery.² We describe 2 patients who developed blindness, without any other symptoms or signs to suggest pituitary apoplexy, due to infarction of undiagnosed pituitary macroadenomas during coronary artery bypass grafting (CABG).

Report of Cases

Case 1

A 79-year-old man with no prior symptoms to suggest neuro-ophthalmologic or endocrine disease underwent CABG. Following extubation, he reported blindness but denied headache. On examination, he was alert and oriented and there was no meningismus. He had no light perception OU. His pupils were 2 . . . [Full Text of this Article]

Case 2

Comment

AUTHOR INFORMATION