Pitutary macroadenoma and microadenoma has their own clinical presentations. These conditions are not very common and they may present with varied symptoms to the ED. There are instances when these conditions are incidentally detected by emergency radiological investigations. However in most of the instances the patient may present with vague complaints like dizziness and headache and in some rare instances the patient may resent with poor GCS. The cause may be attributed to the raised ICP due to growing adenoma or sometimes due to other effects.

Keywords: Macroadenoma; Headache; Altered Sensorium; Disorientation.