Optochiasmatic syndrome from adhesive arachnoiditis with coexisting hypophyseal adenoma: case report.
Adhesive arachnoiditis is an occasional finding during neurosurgical operations for pituitary adenoma, previously treated by radiation therapy. A case where an arachnoidal process was found in combination with an eosinophilic pituitary adenoma, which had never been treated by irradiation, is reported. A 44-year-old woman at the time of surgery with scarce endocrinologic symptoms had suffered visual loss from 2 episodes, 18 years apart. Analysis of her symptoms, neuro-ophthalmologic findings and neurodadiologic features suggest that her visual damage was due to an optochiasmatic arachnoiditis, rather than to the tumor itself.
D000239:Adenoma, Acidophil / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D001100:Arachnoiditis / Q000150:complications* / Q000000981:diagnostic imaging; D001763:Blepharoptosis / Q000209:etiology; D005260:Female; D006801:Humans; D009897:Optic Chiasm / Q000000981:diagnostic imaging; D010523:Peripheral Nervous System Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D010911:Pituitary Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D012008:Recurrence; D000267:Tissue Adhesions; D014786:Vision Disorders / Q000209:etiology