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33 Possible Causes for Bitemporal Hemianopsia, Primary Amenorrhea, Prolactin Increased

  • Craniopharyngioma

    Of the seventeen (63%) patients presenting with varying degrees of bitemporal hemianopsia, all had improvement in vision postoperatively.[] […] or secondary amenorrhea, often associated with galactorrhea.[] In this paper we report a case of mixed pituitary adenoma/craniopharyngioma observed in a 75-year-old woman presenting with diplopia and slight increase of serum prolactin[]

  • Acromegaly

    In addition, bitemporal hemianopsia was observed on campimetry. After further examination, the patient was diagnosed with acromegaly.[] A 50-year-old female was admitted to our hospital with headache, mild acromegaly, and bitemporal hemianopsia.[] These include headaches, visual abnormalities, typically bitemporal hemianopsia, and cranial nerve palsies.[]

  • Prolactinoma

    Clinically, the patient was found to have hypogonadism and bitemporal hemianopsia.[] Treatment with a dopamine agonist can be considered as the primary treatment with almost all microadenomas, including patients desiring pregnancy or those with primary amenorrhea[] Causes of high prolactin levels in the blood: Primary Hypothyroidism : this is due to increased TRH levels which is known to stimulate prolactin levels Renal failure : prolactin[]

  • Galactorrhea-Amenorrhea Syndrome

    Periodic assessment of the visual fields showed an increase in size of the blind spots after 10 weeks and a moderate bitemporal hemianopsia after 22 weeks, which improved[] Patients with hypothalamic primary amenorrhea have a normal prepubescent uterus, but, prior to further work-up for hypothalamic primary amenorrhea, patients with a detectable[] In the three women effectively treated with pyridoxine, the galactorrhea returned, serum prolactin levels increased, and the menses ceased after discontinuing pyridoxine.[]

  • Hyperprolactinemia

    References: [1] [2] [3] [4] Pathophysiology Clinical features Patients with hyperprolactinemia due to a pituitary adenoma may also present with bitemporal hemianopsia and[] Primary or secondary amenorrhea, absence of menstruation. Headaches and alterations in the field of vision due to tumors. Hirsutism, if there is a hyperandrogenism.[] The level of Prolactin increases in the Blood than the normal level. This leads to Hyperlactation, Menstrual Problems and Galactorrhea.[]

  • Pituitary Neoplasm

    Cushing-like effects, diplopia, bitemporal hemianopsia and diabetes insipidus are some of many symptoms that can be encountered.[] Increased production of prolactin can cause abnormal milk production, irregular menses and infertility in women; for men, increased prolactin levels can cause impotence, infertility[] Women classically present in the second or third decade of life with symptoms related to increased prolactin levels such as amenorrhea and galactorrhea (Forbes-Albright syndrome[]

  • Empty Sella Syndrome

    A 48-year-old man with a prolactin-secreting macroadenoma treated with cabergoline presented with progressive bitemporal hemianopsia.[] In primary empty sella syndrome, this is usually the result of benign intracranial hypertension. Accordingly, appropriate therapy for the latter should be initiated.[] […] to increase after thyrotrophin releasing hormone (TRH, 500 microgram), confirmed the diagnosis of panhypopituitarism.[]

  • Granulomatous Giant-Cell Hypophysitis

    A neurologic examination revealed bitemporal hemianopsia.[] The amenorrhea and galactorrhea in these cases possibly resulted from primary hypogonadotropism or hypothalamic dysfunction rather than the elevated prolactin levels.[] The preoperative serum endocrine levels revealed thyroid and adrenal axis insufficiencies, but increased of levels of prolactin.[]

  • Anterior Pituitary Hypofunction

    Enlarged sella turcica Headache, visual field defects (bitemporal hemianopsia- due to compression of optic chiasm), diplopia (due to oculomotor nerve palsies). what is Sheehan[] Circulating prolactin levels are lowest at midday, with a modest increase occurring during the afternoon.[] Answer Usually due to benign slow growing tumors Neurological symptoms (Headache) Visual defects (bitemporal hemianopsia) Pituitary insufficiency Excessive secretion of any[]

  • Autoimmune Hypophysitis

    A neurologic examination revealed bitemporal hemianopsia.[] A 16-years-old girl was admitted at our Unit for primary amenorrhea.[] […] and is increased in the disease, is considered. antipituitary antibody autoimmune disease cytokine immune system lymphocytic hypophysitis (LYH) prolactin Abbreviations: APA[]

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