title: Dengue hemorrhagic fever: a rare cause of pituitary tumor hemorrhage and reversible vision loss.
abstract: Dengue hemorrhagic fever leading to hemorrhage in pituitary adenoma is not reported till date: We herein report the first case of bilateral visual loss secondary to pituitary adenoma hemorrhage associated with dengue hemorrhagic fever. Urgent transnasal trans sphenoidal decompression of the macroadenoma prevented permanent visual loss in this patient. Pituitary apoplexy should be considered as differential diagnosis of visual deterioration apart from retinal hemorrhage, maculopathy, and optic neuropathy in cases of dengue hemorrhagic fever. Early decompression of optic nerves helped in the restoration of vision.
authors.affiliation: Department of Neurosciences, Paras Hospital, Gurgaon, Haryana, India. vimal10agarwal@yahoo.com
authors.forename: Vimal
authors.initials: V
authors.lastname: Kumar
authors.forename: Rashim
authors.initials: R
authors.lastname: Kataria
authors.forename: V S
authors.initials: VS
authors.lastname: Mehta
mesh_terms: D000236:Adenoma / Q000098:blood supply* / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D019299:Decompression, Surgical; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D010899:Pituitary Apoplexy / Q000209:etiology*; D010911:Pituitary Neoplasms / Q000098:blood supply* / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D035583:Rare Diseases; D019595:Severe Dengue / Q000150:complications*; D014786:Vision Disorders / Q000209:etiology*