Compressive Optic Neuropathy Due to Pituitary Adenoma: Case Series

Vonor Kokou

doi:10.23937/2378-346x/1410073

Abstract

Compressive Optic Neuropathy Due to Pituitary Adenoma: Case Series

Highlights

Pituitary adenoma is a benign tumor of the pituitary gland
We report a series of 3 cases of pituitary macro-adenoma with different clinical presentations
The visual field noted a bitemporal hemianopia with central deficit on the right eye

Summary

Introduction

Pituitary adenoma is a benign tumor of the pituitary gland. It represents 8-10% of intracranial masses [1]. The visual field noted a bitemporal hemianopia with central deficit on the right eye. A 55-years-old patient, without special medical history was consulted for the prescription of glasses She had low bilateral visual acuity for 6 months. The visual field revealed a bitemporal hemianopia with a marked central deficit on the left. One year after the operation, the visual field has noticed an upper bilateral quadranopia with a central deficit more important on the right eye (Figure 4). A 56-years-old patient with no particular medical history was consulted for headaches which started for two weeks associated with diplopia in the right eye. Brain MRI revealed a 26 mm × 24 mm × 16 mm, enhanced, homogenous intra and supra-seller mass evoking a pituitary macro-adenoma (Figure 5). The visual field was within normal limits on the right and left.

Discussion

Findings

Conclusion