Abstract
PURPOSE: To describe an unusual ophthalmic manifestion of a pituitary adenoma.METHODS: Case report.RESULTS: A 32-year-old man had left supraorbital and frontal headaches and new-onset vertical diplopia. Examination showed a left fourth nerve palsy and increased vertical fusional amplitudes. Magnetic resonance imaging disclosed a sellar mass consistent with a pituitary macroadenoma.CONCLUSION: A pituitary adenoma may rarely manifest with an isolated fourth nerve palsy.
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