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Pituitary apoplexy (pre-contrast T1-weighted sagittal MRI) in a 72-year-old man with pituitary apoplexy

MRI in a 72-year-old man with pituitary apoplexy demonstrates a sellar and suprasellar heterogeneous lesion with high T1-signal within the mass compatible with acute hemorrhage. The patient presented with sudden onset of left ptosis with a complete third nerve palsy evident on examination. He underwent endoscopic endonasal transsphenoidal resection of the pituitary adenoma. There were no postoperative complications, and he completely recovered 10 days postoperatively. Anatomopathological examination of the resected tumor showed a nonsecreting pituitary macroadenoma. (Source: Drissi Oudghiri M, Motaib I, Elamari S, Laidi S, Chadli A. Pituitary apoplexy in geriatric patients: a report of four cases. Cureus 2021;13[12]:e20318. Creative Commons Attribution License [CC-BY 4.0].)

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