Not a stroke? A Pituitary Macroadenoma with an unusual presentation

• Tiago Mendes ^[1] ; Sabina Azevedo ^[1] ; Marta Pereira ^[1] ; Joana Fontes ^[1]
  1. [1] Hospital Conde de Bertiandos. Ponte de Lima (Portugal)
• Localización: Galicia Clínica, ISSN 0304-4866, ISSN-e 1989-3922, Vol. 83, Nº. 4, 2022, págs. 56-57
• Idioma: inglés
• Títulos paralelos:
  • ¿No es una trombosis cerebral? Un macroadenoma hipofisario con una presentación inusual
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• Resumen

  • We present the case of a 66 year-old male, no medical history, presenting with facial palsy, dysphagia and right hemiparesis and hemihypostesia. Neurological examination also showed left eye ptosis. Stroke was first suspected. In head-CT and angio-CT scans image compatible with macroadenoma are seen. These kind of neurological defficits are not usual with theses lesions which present with headache and visual disturbances. Stroke diagnosis and treatment should be prompt. This shoudl’t however mislead us to be precipitous and ignore differencial diagnosis. Pituitary macroadenomas usually present with headaches and visual disturbances but this is not always the case as this report shows us.