pituitary macroadenoma
A 50 years old gentleman presented with history of seizure since 20 years on carbamazapin for same and well controlled.. presented with complaints on recent onset visual disturbance for around 2 months for which visited to ophthalmologist and after evaluation advised for mri brain.. after looking at mri urgently referred to neurological services no history of headache, nausea, vomiting or any other neurological deficit at presentation.. in view of fear and apprehension pt visited to us for diagnosis , prognosis and outcome..!!? MRI attached
Pituitary adenoma Cushing stage B.. Very good surgery very good outcome expected
Pituitary Adenoma Do endocrine profile like FSH,LH,serum cortisol,TSH and prolactin to rule out functional or non functional adenoma and visual field test. Mx - Surgical excision
It's tuberculum sella ? Meningioma. It's treatment bis surgery. CT angio to look for vessels supplying the tumor and in vicinity of tumor. Get perimetry done too.
Nice ILLUSTRATSTION MICROPITURAY ADENOMA PRODUCE VISUAL FIELD DEFECTS 60 PERCENT GET FIELD DEFECTS 28 PERCENT HAVE SUPERIOR TEMPORAL COMPRESSION 18 PERCENT HAVE BITEMPORAL HEMIANOPSIA 38 OUT OF 60 PERCENT HAVE POOR VISION
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