Pituitary macroadenoma manifesting as an ısolated third nerve palsy
Küçük Resim Yok
Tarih
2009
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Hipofiz tümörlerinin en sık görülen göz tutuluşu, görme alanı defektleri şeklindedir. Akut ağrılı pupil tutulumunun eşlik ettiği okulomotor paralizinin klinikte en sık görülen nedeni ise posterior kommunikan arter anevrizmasıdır. Pupil tutulumu ile birlikte olan okulomotor paralizi, hipofiz tümörlerinin nadir bir başlangıç belirtisidir. Bu olgu sunumu, nörogörüntülemede kavernöz sinus invazyonu yapan hipofiz makroadenomu saptanan, pupil tutulumu ile birlikte izole okulomotor paralizi ile başvuran hastayı tarif etmektedir. Ağrılı okulomotor paralizi ayırıcı tanısında, nadir görülen neden olan hipofiz adenomları mutlaka akla getirilmelidir.
Visual field defects, is the most common presenting sign of pituitary tumors. Acute painful third nerve palsy with pupillary involvement is a well known presenting symptom of a posterior communicating artery aneurysm. Oculomotor palsy with pupillary involvement is a relatively uncommon initial sign of a pituitary adenoma. This report describes a patient who presented with isolated oculomotor palsy with pupillary involvement which on neuroimaging was found to be due to a pituitary macroadenoma with cavernous sinus invasion. We suggest that differential diagnosis of painful oculomotor palsy must also include pituitary adenomas which rarely present with isolated third nerve palsy.
Visual field defects, is the most common presenting sign of pituitary tumors. Acute painful third nerve palsy with pupillary involvement is a well known presenting symptom of a posterior communicating artery aneurysm. Oculomotor palsy with pupillary involvement is a relatively uncommon initial sign of a pituitary adenoma. This report describes a patient who presented with isolated oculomotor palsy with pupillary involvement which on neuroimaging was found to be due to a pituitary macroadenoma with cavernous sinus invasion. We suggest that differential diagnosis of painful oculomotor palsy must also include pituitary adenomas which rarely present with isolated third nerve palsy.
Açıklama
Anahtar Kelimeler
Nörolojik Bilimler
Kaynak
Journal of Neurological Sciences (Turkish)
WoS Q Değeri
Scopus Q Değeri
Cilt
26
Sayı
1
