Abstract
Pituitary adenomas account for about 10-25% of intracranial tumors and can present with visual disturbance. Cranial nerve palsy is fairly rare and has mainly been demonstrated in pituitary macroadenomas with apoplexy. We present a patient with altered mentation and hyponatremia who was evaluated for adrenal insufficiency by inpatient endocrinology and subsequently diagnosed with pituitary macroadenoma without apoplexy after evaluation of right eye ptosis and cranial nerve III palsy.
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