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54 Possible Causes for Bitemporal Hemianopsia, Panhypopituitarism, Testosterone Decreased

  • Craniopharyngioma

    Of the seventeen (63%) patients presenting with varying degrees of bitemporal hemianopsia, all had improvement in vision postoperatively.[ncbi.nlm.nih.gov] We report the case of a patient with craniopharyngioma presenting with severe hyponatremia, panhypopituitarism, and hyponatremia-induced myopathy.[ncbi.nlm.nih.gov] In men, this can lead to a low testosterone level, causing decreased sexual drive and impotence. In some cases, there can be loss of body and facial hair.[pietromortini.com]

  • Pituitary Neoplasm

    Cushing-like effects, diplopia, bitemporal hemianopsia and diabetes insipidus are some of many symptoms that can be encountered.[symptoma.com] If all the hormones produced by the pituitary are affected this condition is known as panhypopituitarism.[my.clevelandclinic.org] This can cause irregular menstrual periods in women or low testosterone levels and decreased interest in sex in men.[cancer.org]

  • 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.[ncbi.nlm.nih.gov] Abstract In rare cases, pancytopenia results from hormonal deficiencies that arise in the setting of panhypopituitarism.[ncbi.nlm.nih.gov] In men, the first effects are decreased libido and erectile dysfunction caused by decreased testosterone in the blood; if the tumor causes more compression, thyroid hormone[urmc.rochester.edu]

  • Launois Syndrome

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

  • Suprasellar Tumor

    An examination of her visual fields revealed bitemporal hemianopsia. Her corrected visual acuity with eye glasses was insufficient.[semanticscholar.org] The hormonal profile revealed low FSH (0.368 mU/l), LH (0.1 mU/l), testosterone, cortisol (6.34 nmol/l) and PRL (19.39).[endocrine-abstracts.org] On confrontation, he had bitemporal hemianopsia that was confirmed by Humphrey visual field testing.[healio.com]

  • Panhypopituitarism

    Ophthalmology examined our patient and patient had bitemporal hemianopsia. The patient was seen by neuro surgery and craniotomy was done with removal of the mass.[pubs.sciepub.com] Head MRI should be done in all the children suspected to have with panhypopituitarism.[symptoma.com] In men, this results in testicular hypofunction, infertility, and decreased testosterone secretion, leading to decreased energy and libido.[journals.lww.com]

  • Hypogonadism

    Secondary hypogonadism Causes of secondary hypogonadism include panhypopituitarism, hypothalamic or pituitary tumors, isolated gonadotropin deficiency, Kallmann syndrome,[msdmanuals.com] The Baltimore Longitudinal Study of Aging found that testosterone decreased by 10 ng/dL per 1-kg/m 2 increase in body mass index.[ 6 ] Another study also showed reduced testosterone[ncbi.nlm.nih.gov] Hypothalamic-Pituitary Disorders (Secondary Hypogonadism) Panhypopituitarism Isolated gonadotropin deficiency Complex congenital syndromes Causes of Secondary Gonadal Insufficiency[enotes.tripod.com]

  • Sellar Tumor with Suprasellar Extension

    On confrontation, he had bitemporal hemianopsia that was confirmed by Humphrey visual field testing.[healio.com] Anterior pituitary hormonal deficiency: Panhypopituitarism or varying degrees of loss of any of the six hormones may occur.[patient.info] LH deficiency is manifested by decreased energy and libido in men due to decreased testosterone levels, and amenorrhea in premenopausal women.[eyewiki.aao.org]

  • Empty Sella Syndrome

    A 48-year-old man with a prolactin-secreting macroadenoma treated with cabergoline presented with progressive bitemporal hemianopsia.[ncbi.nlm.nih.gov] Hormonal evaluation and cranial MRI revealed a panhypopituitarism with empty sella.[ncbi.nlm.nih.gov] In some countries, oral preparations of testosterone are available.[digitalnaturopath.com]

  • Anterior Pituitary Disease

    In pituitary apoplexy, hemorrhagic infarction of a pituitary tumor causes sudden-onset headache and visual field defects (bitemporal hemianopsia) and impairment in anterior[ime.acponline.org] Abstract Anterior pituitary insufficiency (panhypopituitarism) may result from any pathologic process that destroys the anterior lobe.[annals.org] For men, a prolactinoma may decrease their, testosterone level, libido and fertility. Most prolactinomas can be treated with medication and do not require surgery.[gwdocs.com]

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