Large Sellar and Suprasellar Mass (Pituitary Macroadenoma) with Left Third Nerve Palsy and Left Optic Tract Compression

Update item information
Identifier EEC-Case-Large Sellar Macroadenoma with third and HH
Title Large Sellar and Suprasellar Mass (Pituitary Macroadenoma) with Left Third Nerve Palsy and Left Optic Tract Compression
Subject pituitary tumor, pituitary macroadenoma, intracranial tumor, brain tumor, third nerve palsy, optic tract lesion
Creator Devin D. Mackay, MD, Emory Eye Center; Valerie Biousse, MD, Emory Eye Center Atlanta, Georgia
Description A case of a large sellar and suprasellar pituitary macroadenoma with an associated left third nerve palsy and left optic tract compression. Images from an MRI of the brain with contrast illustrate the imaging characteristics and extent of the tumor. Figure 1 : Humphrey Visual Fields (24-2 SITA-Fast) showing a complete right homonymous hemianopia. Figure 2 : Sagittal T1 sequence showing an invasive mass (yellow arrows) involving the skull base that encases the internal carotid arteries (red arrow). Figure 3 : Sagittal T1 post-contrast image of an avidly-enhancing mass (arrows) involving the skull base with mass effect on the upper brainstem and midbrain. Figure 4 : Axial T1 sequence showing a large suprasellar mass with cystic components and fluid-density levels (yellow arrow). There is mass effect on the left cerebral peduncle (red arrow). Figure 5 : Axial T2 FLAIR sequence showing a large suprasellar mass with cystic components and fluid-density levels (yellow arrow). There is mass effect on the left cerebral peduncle (red arrow). Figure 6 : Extensive sellar and suprasellar mass (arrows) that extends into the bilateral cavernous sinuses, encases the internal carotid arteries, exerts mass effect on the cerebral peduncles, and infiltrates adjacent brain parenchyma.
Contributor Primary Mackay, Devin D.
Contributor Secondary Biousse, Valerie
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Text
Format application/pdf
Rights Management Copyright 2014. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6h44p1s
Setname ehsl_novel_eec
Date Created 2014-08-14
Date Modified 2018-01-22
ID 177378
Reference URL https://collections.lib.utah.edu/ark:/87278/s6h44p1s