Visual loss in a 42-year-old man.
A 42-year-old man developed blurred vision and was found to have a right, incongruous, inferior homonymous quadrantanopia. Neuroimaging disclosed a suprasellar mass. The mass was thought to be a pituitary adenoma that was compressing the left optic tract, and transsphenoidal surgery was planned; however, because the defect was primarily inferior, indicating damage to the superior aspect of the optic tract, it was recommended that a craniotomy be performed. The mass was found at surgery to be a craniopharyngioma.
Freitag
S K
SK
Division of Neuro-Ophthalmology and Orbital Disease, Johns Hopkins University, Wilmer Eye Institute, Baltimore, Maryland, USA.
Miller
N R
NR
D000328:Adult; D003397:Craniopharyngioma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003399:Craniotomy; D003937:Diagnosis, Differential; D006423:Hemianopsia / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010911:Pituitary Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014792:Visual Acuity; D058609:Visual Field Tests; D014794:Visual Fields