Unusual scotomas after transsphenoidal surgery of a pituitary macroadenoma.
The case of a woman presenting unusual bilateral campimetric defects following transphenoidal surgery is presented. The defects, consisting of a necklace of small round scotomas, disappeared after a corticosteroid treatment. A postoperative inflammatory mechanism may explain these unusual visual field abnormalities.
Dollfus
H
H
Department of Ophthalmology, Hôpital Necker-Enfants Malades, Université Paris V, France.
Gomberg
S
S
Touraine
P
P
Orssaud
C
C
Hamdani
M
M
Derome
P
P
Kuttenn
F
F
Dufier
J L
JL
D000236:Adenoma / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications; D012607:Scotoma / Q000209:etiology*; D013101:Sphenoid Sinus / Q000601:surgery; D014792:Visual Acuity; D014794:Visual Fields