Pituitary Adenoma Presenting with Acute History of Severe Headache, Hypotension, and Ptosis

A female patient in her seventies presented with acute onset of severe headache and third nerve palsy. Initial evaluation showed ptosis of the left eyelid, dilated left pupil, and restricted eye movements. MRI confirmed a pituitary macroadenoma. The patient was managed with hydrocortisone and conservative measures but experienced significant complications during treatment. This case underscores the diagnostic and management challenges of pituitary adenomas, emphasizing a multidisciplinary approach.