Septo-optic dysplasia with aqueductal stenosis

Case contributed by Dr Amro Omar

Presentation

High blood pressure, color blindness and high free cortisol level.

Patient Data

Age: 35
Gender: Male

NECT shows absent septum pellucidum, small optic nerves and chiasm, there is associated chronic hydrocephalus changes involving the lateral and 3rd ventricles with sparing the 4th ventricle suggesting an aqueductal stenosis.

Please note the asymmetric bulge of the right side of the pituitary gland on the right side.

Case Discussion

Septo-optic dysplasia is commonly associated with abnormal endocrine function, one should look for multiple pituitary deficiencies, which may explain the high cortisol level. This patient was advised to have an MRI of the pituitary region.

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Case Information

rID: 35083
Case created: 21st Mar 2015
Last edited: 1st Oct 2015
Inclusion in quiz mode: Included

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