Pituitary apoplexy presenting as myocardial infarction

Abstract

We describe a male patient who presented with sudden onset severe headache and right sided ptosis that was diagnosed to be secondary to pituitary apoplexy on the background of diabetes mellitus. This was complicated by left ventricular failure and acute coronary syndrome. The case highlights the importance of considering hypocortisolism/hypopituitarism as an important and rare precipitant of an acute coronary event as occurred in the case.

Keywords

• Acute coronary syndrome
• myocardial infarction
• pituitary adenoma
• pituitary apoplexy
• pituitary infarction