A 34 year-old woman developed amenorrhea and headaches. Neurological examination revealed bitemporal hemianopsia. Pituitary Macroadenoma.

Understanding the Context

(Left) T1-weighted with gadolinium sagittal MRI; (Right) ... mp.pl: Cushing disease caused by ectopic sphenoid pituitary macroadenoma: a major interdisciplinary challenge in everyday clinical practice Cushing disease caused by ectopic sphenoid pituitary macroadenoma: a major interdisciplinary challenge in everyday clinical practice A 74-year-old patient had a nonfunctioning pituitary macroadenoma surgically removed via the transsphenoidal approach approximately 20 years ago. A recent MRI has shown recurrence with mild mass ... A 47 year-old woman developed progressive headaches and difficulty with her vision.

Key Insights

Neurological examination revealed a bitemporal hemianopsia. Pituitary Macroadenoma. T1-weighted coronal MRI. Note ... Nature: Orbital invasion by a pituitary macroadenoma without visual loss: case report and review of the literature Pituitary macroadenomas (ie tumour >5 mm) can extend in either lateral, superior, posterior, inferior, or more seldom anterior directions, thus invading the orbital cavity through the optic foramen ...

Final Thoughts

Orbital invasion by a pituitary macroadenoma without visual loss: case report and review of the literature