Chiasmal Syndromes

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Identifier 97_68
Title Chiasmal Syndromes
Creator Larry P. Frohman, MD
Affiliation UMDNJ-New Jersey Medical School
Contributing Institution AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology Society
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_66, and 97_67.
Date 1999
Date Digital 2004
Language eng
Format image/jpeg
Type Image
Source AAO/NANOS Clinical neuro-ophthalmology : image collection for ophthalmic practitioners. American Academy of Ophthalmology [electronic resource], [San Francisco, Calif.] : AAO, c1999.
Relation is Part of Case 107
Collection Neuro-Ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 1999. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s69s4qnz
Setname ehsl_novel_aao_nanos
ID 176972
Reference URL https://collections.lib.utah.edu/ark:/87278/s69s4qnz
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