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27 Possible Causes for Bitemporal Hemianopsia, Frontal Bossing, Prolactin Increased

  • Acromegaly

    In addition, bitemporal hemianopsia was observed on campimetry. After further examination, the patient was diagnosed with acromegaly.[] The forehead and overlying skin is thickened, sometimes leading to frontal bossing.[] A 50-year-old female was admitted to our hospital with headache, mild acromegaly, and bitemporal hemianopsia.[]

  • Launois Syndrome

    Symptoms related to the compressive effects of the tumor include headaches, visual disturbances such as bitemporal hemianopsia, and signs of hypopituitarism.[]

  • Empty Sella Syndrome

    A 48-year-old man with a prolactin-secreting macroadenoma treated with cabergoline presented with progressive bitemporal hemianopsia.[] bossing, cleft lip or hypertelorism Sprengel deformity, pectus excavatum or pectus carinatum, syndactyly bridging of the sella turcica, hemivertebrae, flame shaped osseous[] […] to increase after thyrotrophin releasing hormone (TRH, 500 microgram), confirmed the diagnosis of panhypopituitarism.[]

  • 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.[] Clinical Examination Finding Acromegaly  Large hands and feet (with thick fingers and toes) and coarse facial features with frontal bossing.[] Some women produce breast milk even though they are not breastfeeding ( galactorrhea ) because of a related increase in prolactin.[]

  • Chromophobe Adenoma

    Abstract A 50-year-old man with bitemporal hemianopsia and an enlarged sella turcica was found to have hyperthyroidism with elevated serum thyrotropin levels (17 mμg per milliliter[] His exam was notable for typical features of acromegaly including a large jaw, coarsening of facial features and broadened nose, frontal bossing, and enlarged hands with thickened[] Thioridazine was found to increase the serum prolactin level as well as the tumor size of a prolactin--secreting pituitary chromophobe adenoma in a schizophrenic man [12].[]

  • Gigantism

    A loss of the outer peripheral vision, called a bitemporal hemianopsia When severe, a patient can only see what is directly in front of them Many patients do not become aware[] Other symptoms include: Delayed puberty Double vision or difficulty with side (peripheral) vision Very prominent forehead ( frontal bossing ) and a prominent jaw Gaps between[] Exams and Tests• CT or MRI scans• Failure to suppress serum growth hormone (GH) levels after an oral glucose challenge (maximum 75g)• High prolactin levels• Increased insulin[]

  • Pituitary Neoplasm

    Cushing-like effects, diplopia, bitemporal hemianopsia and diabetes insipidus are some of many symptoms that can be encountered.[] bossing, and prognathism result.[] Increased production of prolactin can cause abnormal milk production, irregular menses and infertility in women; for men, increased prolactin levels can cause impotence, infertility[]

  • Forbes-Albright Syndrome

    Humphrey visual field 24-2 showing a bitemporal hemianopsia. Figure 2.[] Polyostotic fibrous dysplasia in the craniofacial region can alter the facial features resulting in an abnormally prominent forehead (frontal bossing), bulging eyes (proptosis[] However, increased prolactin serum concentration doesn’t always cause galactorrhea.[]

  • Suprasellar Tumor

    An examination of her visual fields revealed bitemporal hemianopsia. Her corrected visual acuity with eye glasses was insufficient.[] bossing, and prognathism result.[] Pituitary stalk compression can also cause diabetes insipidus and may increase prolactin levels causing a milky discharge from the breast (galactorrhea).[]

  • Gonadotropic Pituitary Adenoma

    Suprasellar extension causing optic chiasm compression can result in bitemporal hemianopsia or even more extensive visual field deficits.[] These manifest as coarse facial features, frontal bossing, prognathism, dental malocclusion, macroglossia, spade-like enlargement of the hands and feet, spinal stenosis and[] Circulating prolactin levels are lowest at midday, with a modest increase occurring during the afternoon.[]

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