Chiasmal syndrome caused by pituitary-sellar disproportion.
A patient with pituitary-sellar disproportion, a perichiasmal visual field defect, and no clinically demonstrable endocrinopathy is presented. Radiographic and pathologic studies suggested that the pituitary-sellar disproportion was secondary to sellar hypoplasia, a previously unrecognized cause of the chiasmal syndrome. It remains to be seen whether hormonal manipulation aimed at suppression of gonadotropin- and/or prolactin-secreting cells might obviate the need for exploration in patients similar to ours.
Elias
Z
Z
Department of Ophthalmology, University of North Carolina, Chapel Hill 27514.
Powers
S K
SK
Grimson
B S
BS
Bouldin
T W
TW
D000328:Adult; D005260:Female; D006801:Humans; D006965:Hyperplasia; D008279:Magnetic Resonance Imaging; D009192:Myelography; D009897:Optic Chiasm / Q000601:surgery; D010902:Pituitary Gland / Q000000981:diagnostic imaging / Q000473:pathology*; D012658:Sella Turcica / Q000000981:diagnostic imaging / Q000473:pathology*; D013577:Syndrome; D014786:Vision Disorders / Q000209:etiology* / Q000601:surgery; D014794:Visual Fields