Chiasmal Syndromes

Update item information
Identifier 97_66
Title Chiasmal Syndromes
Subject Pituitary Apoplexy
Description A 50-year-old right-handed woman with no significant past medical history underwent liposuction on her abdomen, hips, and thighs under general anesthesia. Her height and weight were 167 cm and 63 kg, respectively. Subcutaneous fat was injected with 2.5 L of 0.05% xylocaine and 1:10,000,000 epinephrine in lactated Ringer's solution prior to liposuction. Upon awakening, she complained of intense headache and was unable to open her right eye. Headache persisted, and she had nausea and vomiting the same day. She saw an ophthalmologist 2 days later, who observed palsy of right cranial nerves III, IV, and VI. An MRI the next morning showed a 2.7 x 2.7 x 3.2 cm intrasellar mass with erosion of the floor and elevation and compression of the optic nerves and chiasm. No enhancement was noted. The mass had a hyperintense rim of T1 suggestive of methemoglobin. There was a signal void on T2. A four-vessel cerebral angiogram ruled out aneurysm. The diagnosis was pituitary apoplexy. Pair with 97_65, 97_67, and 97_68.
Creator AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology Society
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Image
Format image/jpeg
Relation is Part of Case 107
Rights Management Copyright 2002. For further information regarding the rights to this collection, please visit:
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
Contributor Primary Larry P. Frohman, MD, UMDNJ-New Jersey Medical School
Source AAO/NANOS Clinical neuro-ophthalmology : image collection for ophthalmic practitioners. American Academy of Ophthalmology [electronic resource], [San Francisco, Calif.] : AAO, c1999.
ARK ark:/87278/s6k9674v
Setname ehsl_novel_aao_nanos
Date Created 2004-11-17
Date Modified 2004-11-17
ID 176970
Reference URL
Back to Search Results