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46 Possible Causes for Bitemporal Hemianopsia, Enlarged Sella, Panhypopituitarism

  • Empty Sella Syndrome

    A 48-year-old man with a prolactin-secreting macroadenoma treated with cabergoline presented with progressive bitemporal hemianopsia.[] Hormonal evaluation and cranial MRI revealed a panhypopituitarism with empty sella.[] The empty sella syndrome (ESS) is well documented in adults, and although the same phenomenon of herniation of the arachnoid space into the enlarged sella turcica has been[]

  • Craniopharyngioma

    Of the seventeen (63%) patients presenting with varying degrees of bitemporal hemianopsia, all had improvement in vision postoperatively.[] We report the case of a patient with craniopharyngioma presenting with severe hyponatremia, panhypopituitarism, and hyponatremia-induced myopathy.[] Other signs include enlarged sella, bony erosion of the sella, dorsum, or clinoids, and signs of increased ICP.[]

  • Pituitary Neoplasm

    Cushing-like effects, diplopia, bitemporal hemianopsia and diabetes insipidus are some of many symptoms that can be encountered.[] If all the hormones produced by the pituitary are affected this condition is known as panhypopituitarism.[] A pituitary tumor tends to produce an enlarged sella (sella turcica). Alternatively, an enlarged sella may represent empty sella syndrome.[]

  • Pituitary Adenoma

    Here, we report the case of a 67-year-old woman who presented with bitemporal hemianopsia and visual impairment accompanied by mildly elevated prolactin.[] Abstract In rare cases, pancytopenia results from hormonal deficiencies that arise in the setting of panhypopituitarism.[] Grade II: Enlarged sella with an intact floor Grade III: Localized erosion or destruction of the sellar floor Grade IV: Diffusely eroded or destroyed floor Treatment Overview[]

  • Launois Syndrome

    Symptoms related to the compressive effects of the tumor include headaches, visual disturbances such as bitemporal hemianopsia, and signs of hypopituitarism.[] […] turcica Pituitary dwarfism with small sella turcica Pituitary gland enlarged Pituitary hemorrhage Pituitary infarction Posterior pituitary disorder Primary hypothalamic insufficiency[] sella turcica.[]

  • Sellar Tumor with Suprasellar Extension

    On confrontation, he had bitemporal hemianopsia that was confirmed by Humphrey visual field testing.[] Anterior pituitary hormonal deficiency: Panhypopituitarism or varying degrees of loss of any of the six hormones may occur.[] […] of the sella turcica. 378 MRI showed an intrasellar cystic tumor causing enlargement of the sella turcica. 379 MRI showed an intrasellar cystic tumor causing enlargement[]

  • Pituitary Cyst

    On admission, blood workup showed severe hyponatremia (112 mEq/L), and bitemporal hemianopsia was observed on neurological examination.[] CONCLUSION: Symptomatic Rathke's cleft cysts are rare and can occasionally cause panhypopituitarism.[] CT typically shows an enlarged sella turcica containing a cystic mass, which can be either hypodense or isodense with brain.[]

  • Suprasellar Tumor

    An examination of her visual fields revealed bitemporal hemianopsia. Her corrected visual acuity with eye glasses was insufficient.[] Left: Plain X-ray film of skull showing enlarged sella turcica, markedly eroded dorsum sellae, and intact anterior clinoid process.[] On confrontation, he had bitemporal hemianopsia that was confirmed by Humphrey visual field testing.[]

  • Granulomatous Giant-Cell Hypophysitis

    A neurologic examination revealed bitemporal hemianopsia.[] The endocrinological examination revealed panhypopituitarism and diabetes insipidus.[] enlarged sella, and extension of enhancement to the optic chiasm (10, 20, 26) .[]

  • Corticotroph Pituitary Adenoma

    Bitemporal hemianopsia is classically produced by compression of the optic chiasm.[] Patients often initially present to their primary physicians with complaints of headache from irritation of the dura mater or fatigue from panhypopituitarism, and as the tumor[] Over time, cerebrospinal fluid (CSF) pulsations may enlarge the sella and compress the gland against the floor of the sella.[]

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