[The significance of ocular signs for early diagnosis of pituitary tumors].
The aim of the study was to analyze intensified ocular symptoms of patients with diagnosed and surgically treated pituitary macroadenoma. Material from Neurosurgery Clinic of Medical University in Warsaw covering the period since 1935 was included in the study. Duration of the period from first ocular symptoms to final diagnosis as well as condition of visual organ, especially number of patients with irreversibly damaged sight (blindness, marginal vision), were evaluated. The results of the study show that still a great number of patients undergo surgical treatment too late; in the last period 36% of patients had irreversibly damaged sight. The reason was found to be partially carelessness of the patients, however in many cases it was wrong initial medical diagnosis and not performed full diagnostic examinations. The study points to the necessity of performing adequate additional tests in cases of patients with visual field narrowing or visual acuity deterioration without clearly determined other pathology.
Kliniki Neurochirurgii w Warszawie.
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Bidziński
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009896:Optic Atrophy / Q000175:diagnosis*; D009897:Optic Chiasm / Q000502:physiology*; D010911:Pituitary Neoplasms / Q000175:diagnosis*; D012189:Retrospective Studies; D013577:Syndrome; D013997:Time Factors; D014794:Visual Fields / Q000502:physiology
Znaczenie objawów wzrokowych dla wczesnego rozpoznania guzów przysadki mózgowej.