Giant pituitary macroadenoma

Abstract

Pituitary macroadenoma is the most common suprasellar lesion in adults. If symptomatic, it is managed surgically via transsphenoidal resection. Patients commonly present with headache and visual disturbances. If the tumour is large enough, it may have mass effect and patient may present with symptoms of elevated intracranial pressure like severe headache, nausea and vomiting. Functional adenomas may cause endocrine dysfunction. Here, we present a case of pituitary macroadenoma in a 62-year-old man presented to the Neurosurgery Department with complaints of headache for 1 month. he also gave history of weight gain in the last 6 months. On examination Bi-temporal hemianopia was present,he was conscious, oriented, and obeying verbal commands. There was no sensory loss or motor deficits. Cranial nerves were normal and pupils were reactive.