High-dose dexamethasone was administered to avoid Addisonian crisis in consultation with endocrinology. Complete recovery in oculomotor nerve function was noted by day 3 with conservative management only. No further diplopia, headache, or nausea was reported. Transsphenoidal resection was avoided, and the patient made an uneventful recovery after discontinuation of enoxaparin. She was discharged on hydrocortisone and continued thyroxine replacement.