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Pituitary apoplexy is a rare, life-threatening condition caused by sudden hemorrhage or infarction of the pituitary gland, often within a pituitary adenoma. It presents with severe headache, visual disturbances, ophthalmoplegia, altered consciousness, and sometimes hormonal deficiencies. It is a medical emergency requiring prompt diagnosis, typically via MRI, and urgent management. Initial treatment includes corticosteroids to reduce inflammation and support adrenal function. Neurosurgical decompression may be necessary in severe cases with vision loss or deteriorating consciousness. Long-term follow-up is essential to manage pituitary hormone deficiencies. Early recognition and intervention significantly improve outcomes and reduce the risk of permanent neurological or endocrine damage.