Pituitary Apoplexy Presenting as Ophthalmoplegia and Altered Level of Consciousness without Headache
Table 1
Laboratory data findings.
Variable
Reference range
Day
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Day 8
Day 9
Day 10
3 months
6 months
9 months
Glucose, random (mg/dL)
74–106
103
90
83
84
89
115
118
107
109
84
84
Na, serum (mEq/L)
136–145
130
131
130
K, serum (mEq/L)
3.6–5.0
4.0
4.3
4.3
Thyroid stimulating hormone (mU/L)
0.40–4.50
0.114
1.68
Thyroxine (T4), free (ng/dL)
0.76–1.46
0.92
1.02
1.0
0.7
Triiodothyronine (T3), total (ng/dL)
76–181
61
Follicular stimulating hormone (mIU/m)
1.6–8
6.4
4.8
3.1
Luteinizing hormone (mIU/m)
1.6–15.2
2.8
3.2
1.3
1.3
Testosterone (ng/dL)
250–1100
14
Prolactin (ng/mL)
2.0–18.0
<1.0
<1.0
<1.0
<1.0
ACTH (pg/mL)
6–50
<5
<5
<5
<5
Serum osmolality (mosm)
274–309
273
288
298
Urine osmolality (mosm)
281–1076
468
403
569
AM Cortisol (mcg/dL)
4.0–22.0
1.1, 5.2,
Insulin growth factor-1 (ng/mL)
34–245
71
75
36
1 is the first day of admission at our hospital. level was 1.1 mcg/dL at 8 am before stimulation. It was 5.2 mcg/dL and 11.6 mcg/dL after 30 minutes and 60 minutes of cosyntropin injection, respectively. patient was told to skip the last two doses of steroid before this measurement.
