Pituitary hyperplasia causing complete bitemporal hemianopia with resolution following surgical decompression: case report.

Abstract:

:In this report, the authors demonstrated that idiopathic pituitary hyperplasia (PH) can cause complete bitemporal hemianopia and amenorrhea, even in the setting of mild anatomical compression of the optic chiasm and normal pituitary function. Furthermore, complete resolution of symptoms can be achieved with surgical decompression.PH can occur in the setting of pregnancy or end-organ insufficiency, as well as with medications such as oral contraceptives and antipsychotics, or it can be idiopathic. It is often found incidentally, and surgical intervention is usually unnecessary, as the disorder rarely progresses and can be managed by treating the underlying etiology. Here, the authors present the case of a 24-year-old woman with no significant prior medical history, who presented with bitemporal hemianopia and amenorrhea. Imaging revealed an enlarged pituitary gland that was contacting, but not compressing, the optic chiasm, and pituitary hormone tests were all within normal limits. The patient underwent surgical decompression of the sella turcica and exploration of the gland through an endoscopic endonasal transsphenoidal approach. Pathology results demonstrated PH. A postoperative visual field examination revealed complete resolution of the bitemporal hemianopia, and menstruation resumed 3 days later. The patient remains asymptomatic with no hormonal deficits.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Raviv N,Amin A,Kenning TJ,Pinheiro-Neto CD,Jones D,Sharma V,Peris-Celda M

doi

10.3171/2020.5.JNS20448

subject

Has Abstract

pub_date

2020-08-14 00:00:00

pages

1-5

eissn

0022-3085

issn

1933-0693

pii

2020.5.JNS20448

pub_type

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