Pituitary apoplexy is a well-known complication of a
pituitary adenoma. However, an ischaemic event caused by
pituitary apoplexy is rare. We reported a case of pituitary
apoplexy with middle cerebral artery infarction in a 44-year
old man who presented with a sudden onset of altered
sensorium. Vasospasm is the most likely underlying cause
of the infarction in this case secondary to transdiaphragmatic
rupture of the sella tumour into the
subarachnoid space
