Apoplexy of a Pituitary Macroadenoma: A Case Report

Pituitary apoplexy is an acute infarction or hemorrhage of the pituitary gland. It represents a rare mode of presentation for pituitary macroadenomas, typically non-functioning. We report a case of 65-year-old patient with a history of intracranial hypertension syndrome evolving over two years, associated with a progressive decrease in visual acuity leading to bilateral blindness. The patient presented to the emergency department with sudden-onset right hemiplegia and blindness. An emergency brain CT scan, complemented by MRI, revealed apoplexy of a pituitary macroadenoma. Given the ophthalmological impact, the adenoma was surgically removed via a transsphenoidal approach in neurosurgery. The patient was also started on hormone replacement therapy. The outcome was favorable, with complete recovery of visual acuity.