PROGRESSIVE LOSS OF VISION DUE TO PITUITARY ADENOMA

32years/F with Headache and slow progressive loss of vision for 2 years. Oligomenohrrea present. serum prolactin 84,Patient said that the headache was acute,bifrontal,non radiating and non pulsatile in nature. Chief Complaints Headache,Loss of vision Vitals Bp -130/90,HR - 64 Physical Examination No perception of light in both eyes. Fundoscopy was normal without pallor of the optic nerves, no meningeal signs, GCS -14/15 Investigations Normal electrolytes and infection parameters,Prolactin 84 Diagnosis DIAGNOSIS? Management MANAGEMENT?

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A case of Macro - Pituitary adenoma and causing headache and progressive loss of vision due to compression of the neighboring structures Surgery is recommended- Refer the patient to neurosurgeon. A Trans- sphenoidal tumour resection remains the treatment of choice

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advanced multicompartment Cushing stage D tumor...needs transcranial surgery... such tumors can be diagnosed early with good clinical knowledge and the subsequent surgery needed is a much less risky trans nasal endo microscopic surgery..so I urge all practitioners to be aware of these symptomatology so nicely described by @Prashant Vedwan

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Neurosurgeon's reference for surgical intervention and biopsy HPE to conclude.

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Craniopharyngioma

brain tumor Craniopharyngioma ? Rx Galo ghan tab 1bd Kanchnar guggul 2bd punranavashtak qwath BD useful

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