Diagnosis confirmed by radiological MRI features, No biopsy was obtained.

Pituitary apoplexy is an acute clinical syndrome caused by either hemorrhage or infarction of the pituitary gland . Although variable, it typically comprises of headache, visual deficits, ophthalmoplegia, and altered mental status . An existing pituitary macroadenoma is usually present (60 - 90%) but it can occur with healthy glands in few isolated cases.

Pituitary apoplexy may also occur during pregnancy or post partum period (Sheehan syndrome)