A male
pt 20 yr old had come with complaints of diminission
of vision both eyes and headache since 1and ½ yrs .
He had exacerbation of symptoms since last one week
.
O/E
conscious co-operative
Pupils both
reacting to light
Visual
field laterally restricted
Perimetry showed bilateral loss of field (bitemporal
hemianopia)
Fundus
showed disc pallor both lateral side
Other
cranial nerves normal
Vitals
normal
MRI
showed sellor and suprasellar
tumour with central necrosis
, tumour causes pressure on optic chiasma .
Pitutory hormone profile reveled increased
prolactine level increased growth hormone
and other hormones within normal limits.
He was
operated for transnasal trans septal trans sphenoidal
removal of pitutory tumour .
Fig 1
shows MRI in saggital
plane
Fig 2 shows pitutory tumour
in coronal plane
Fig 3
shows pitutory tumour
in axial plane. Fig 4 shows Kelly”s
refrector in nasal cavity (intra operative photograph )
