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89 Possible Causes for Bitemporal Hemianopsia, Hypertension, Panhypopituitarism

  • Empty Sella Syndrome

    The combination of the empty sella syndrome (ESS) and benign intracranial hypertension (BIH) is illustrated by two case histories.[] 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.[]

  • Launois Syndrome

    The syndrome is often associated with features of metabolic syndrome such as diabetes mellitus, hyperuricemia, hyperlipidemia and hypertension and is associated with polyneuropathy[] Symptoms related to the compressive effects of the tumor include headaches, visual disturbances such as bitemporal hemianopsia, and signs of hypopituitarism.[] The prevalence of atherogenic risk factors as hypertension (80%), type 2 diabetes (30%), OSAS (50%), smoking (30%) and alcohol abuse (80%) was high in the (obese) LBS group[]

  • Suprasellar Tumor

    Long-standing intracranial hypertension causing atrophy of the optic disks may lead to concentric narrowing of the visual fields.[] An examination of her visual fields revealed bitemporal hemianopsia. Her corrected visual acuity with eye glasses was insufficient.[] On confrontation, he had bitemporal hemianopsia that was confirmed by Humphrey visual field testing.[]

  • Pituitary Neoplasm

    Features of Cushing's disease, such as central obesity, moon facies, hypertension and development of a "buffalo hump", may be seen in ACTH-secreting tumors.[] If all the hormones produced by the pituitary are affected this condition is known as panhypopituitarism.[] (30%) and may have idiopathic intracranial hypertension (10%) or spinal fluid rhinorrhea (10%).[]

  • Sellar Tumor with Suprasellar Extension

    This entails prevention of hypertension as well as coughing or 'bucking' on the endotracheal tube.[] 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.[]

  • Pituitary Apoplexy

    Rapid deterioration of the patient's condition led to coma and oxygen desaturation secondary to intracranial hypertension.[] Neurological examination disclosed bitemporal hemianopsia. Computed tomography (CT) scans revealed a suprasellar mass including intratumoral hematoma.[] […] platelet count (HELLP) syndrome was diagnosed in a 35-year-old woman at 39 weeks' gestation, magnetic resonance imaging and hormone examination revealed pituitary apoplexy with panhypopituitarism[]

  • Pituitary Adenoma

    For management, maintaining at least a euvolemic volume status was used in 76.9%, induced hypertension was used in 61.5%, and nimodipine was administered in 46.2% of cases[] 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.[]

  • Craniopharyngioma

    Common acute presentations are sudden visual loss and symptoms of intracranial hypertension.[] 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.[]

  • Pituitary Disorder

    Hypertension 13. Immunosuppression resulting in susceptibility for infection 14. Poor healing 37. Disorders of Pituitary Gland 38.[] Bitemporal Hemianopsia (Loss of Peripheral Vision) - Compression of Optic Chiasm 2.[] The term panhypopituitarism is also commonly used when only anterior pituitary hormones are deficient.[]

  • Berry Aneurysm

    She presented with subarachnoid hemorrhage and was shown to have hypertension attributable to unilateral renal artery fibromuscular hyperplasia.[] Panhypopituitarism secondary to an aneurysm of the anterior communicating artery. CMAJ. 1987; 137 (5): 413-5[ PubMed ] 8. Swanson LW, Sawchenko PE.[] Alterations in blood pressure and blood flow seem to be the probable causes, while risk factors include smoking, advanced age and hypertension.[]

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