PMID: 9163837Mar 1, 1997Paper

Acute loss of vision during pregnancy due to a suprasellar mass

Survey of Ophthalmology
J B KerrisonJ M Weinstein

Abstract

A pregnant woman presented with headaches, bilateral decreased visual acuity, and a central scotoma with a superotemporal hemianopic defect in the right eye and a superotemporal hemianopic defect in the left eye, and bilateral temporal optic disk pallor. Neuroimaging revealed an intrasellar mass with suprasellar extension. Biopsy of the lesion revealed lymphocytic hypophysitis (LH). Treatment with steroids produced marked improvement in visual function. The clinical presentation of lymphocytic hypothysitis may mimic pituitary adenoma and the diagnosis should be suspected in any pregnant or postpartum patient with an intrasellar or suprasellar mass.

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Citations

Dec 31, 2002·Survey of Ophthalmology·Dan Milea, Phuc LeHoang
Aug 24, 2004·International Journal of Obstetric Anesthesia·R H Buckland, P A Popham
Jan 28, 2003·Journal of Neurosurgery·Michael S Lee, Misha Pless
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Jul 22, 2018·Emergency Radiology·Matthew A Haber, Diego Nunez

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