Surgical reversal of a subacute complete unilateral visual loss from an ovarian metastasis to the pituitary gland.
A 56-year-old woman with ovarian papillary cystadenocarcinoma that metastasized to the pituitary gland sought treatment with a 7-day history of total loss of vision in one eye. Ten days after transsphenoidal tumor resection, the patient's vision suddenly returned to baseline. This unusual case indicates that surgical decompression of the optic nerve and chiasm can completely salvage vision, even after prolonged total visual loss.
Wu
J K
JK
Department of Neurosurgery, New England Medical Center Hospitals, Boston, Massachusetts.
Hedges
T R
TR
Anderson
M L
ML
Folkerth
R D
RD
D001766:Blindness / Q000473:pathology / Q000601:surgery*; D003536:Cystadenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009902:Optic Neuritis / Q000473:pathology / Q000601:surgery; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D010911:Pituitary Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D015349:Vision, Monocular / Q000502:physiology*; D014794:Visual Fields / Q000502:physiology