Heparin-Induced Pituitary Apoplexy Presenting as Isolated Unilateral Oculomotor Nerve Palsy: A Case Report and Literature Review

Table 1

Hormonal workup.

Lab	Result	Reference range
TSH	2.06 IU/ML	0.3–5.5 micro international unit/milliliter (IU/ML)
Random plasma cortisol	21 g/dl	A.M. 4.3–22.4 microgram/deciliter (g/d) P.M. 3.1–16.7 g/dL
		P.M. 3.1–16.7 g/dL
ACTH	50 pg/mL	≤46 picogram/milliliter (pg/mL)
Prolactin	1.1 ng/mL	1.8–20.3 nanograms per milliliter (ng/mL)
FSH	10.4 mIU/mL	Follicular 2.5–10.2 milli-international units per milliliter (mIU/mL), midcycle 3.4–33.4, luteal 1.5–9.1, pregnant <0.3, postmenopausal 23.0–116.3
LH	2.7 mIU/mL	Follicular 1.9–12.5, midcycle 8.7–76.3, luteal 0.5–16.9, pregnant <1.6, postmenopausal 15.9–54.0, prepubertal <6.1, oral contraceptives 0.7–5.6
Insulin-like growth factor (IGF)	157 ng/mL	41–168 ng/mL
Alpha subunits pituitary glycoprotein	0.2 ng/mL	≤1.2 (females premenopausal) ≤1.8 (female postmenopausal)