Pituitary apoplexy is a rare surgical emergency. This condition involves the rapid progression, which can threaten patients’ life and is caused by haemorrhage or infarction in the pituitary gland. In most cases, a pituitary apoplexy occurs on a pre-existing pituitary tumor. The patient presents with a clinical syndrome of headache, visual deficits, ophthalmoplegia, and altered mental status and hormonal dysfunction. We report a 28-year-old male patient with no previous history of pituitary gland disease. There was a sudden onset and rapid progression, and the patient underwent emergency endoscopic nasal surgery. After surgery, the patient's neurological function was improved and stable.
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