Pituitary macroadenoma with intratumoral hemorrhage

Case contributed by Dr Miguel Terrazas Terrazas

Presentation

Bitemporal Hemianopsia.

Patient Data

Age: 60 years
Gender: Male

Large sellar and suprasellar mass lesion with homogenous texture showing multiple cystic changes with high T1W signals reflecting intratumoral hemorrhage. The pituitary gland is not identified with widening of the sellar floor which remains intact in keeping with pituitary origin.

It is extending to the suprasellar cistern elevating and compressing the optic chiasm. Also, laterally displacing both cavernous sinuses, with partial encasement of both internal carotid arteries.

Case Discussion

This case proved to be pituitary macroadenoma with intratumoral hemorrhage, also known as pituitary apoplexy.

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Case information

rID: 16666
Published: 8th Feb 2012
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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