Not a stroke? A Pituitary Macroadenoma with an unusual presentation

Abstract

We presente the case of 66 year-old male, no medical history, presenting with facial palsy, dysphagia and right hemiparesis and hemihypostesia. Neurological examination also showed left eye ptosis. Stroke was first suspected. In head-CT and angio-CT scans image compatible with macroadenoma are seen. These kind of neurological defficits are not usual with theses lesions which present with headache and visual disturbances. Stroke diagnosis and treatment should be prompt. This shoudl't however mislead us to be precipitous and ignore differencial diagnosis. Pituitary macroadenomas usually present with headaches and visual disturbances but this is not always the case as this report shows us.