Macroadenoma with apoplexy

Case contributed by Dr Utkarsh Kabra

Presentation

Headache and blurring of vision

Patient Data

Age: 26
Gender: Male
MRI

Large lobulated sellar, suprasellar mass lesion causing enlargement and ballooning of sella with erosion of dorsum sella. It is splaying and displacing optic chiasma superiorly. Bilateral parasellar  extension are seen partially encasing cavernous segment of bilateral ICA and partially effacing Meckel’s cave. The lesion is hypointense on T1 with a well defined hyperintense component and heterogenously hyperintense on T2- suggestive of haemorrhage within the mass.

Case Discussion

Lobulated sellar/suprasellar mass as described with hyperintense component on T1 which is heterogenously hyperintense on T2.  

The features are suggestive of pituitary macroadenoma with apoplexy.

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Case information

rID: 47722
Case created: 31st Aug 2016
Last edited: 3rd Sep 2016
Inclusion in quiz mode: Included

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