Multiple Intracranial Lesions Following Treatment of Nelson's Symptoms: (MRI)

Update item information
Identifier walsh_2000_s6_c4_mri2
Title Multiple Intracranial Lesions Following Treatment of Nelson's Symptoms: (MRI)
Creator Luis J. Mejico, M.D.
Subject Adrenalectomy; Nelson Syndrome; Cushing Syndrome; Pituitary Neoplasms; Oculomotor Nerve Diseases; Trochlear Nerve Diseases; Abducens Nerve Diseases; Ocular Motility Disorders; Pupil Disorders; Blepharoptosis
Presenting Symptom Declining cognition; Alexia; Agraphia
History A 75-year old female with no light perception OD and right third, fourth and sixth nerve pareses. Previous history significant for diabetes mellitus, hypertension, cushing syndrome and Nelson syndrome. After CD Dx, a bilateral adrenalectomy was performed.
Clinical VA: NLP OD, 20/40 OS; Color plates: Unable to identify OS, Colors of large objects OD; RAPD OD
Neuroimaging MRI
Pathology Pituitary carcinoma
Disease/Diagnosis Nelson Syndrome
Treatment Surgery; XRT
References 1. Grua JR and Nelson DH: ACTH-Producing Pituitary Tumors. Endocrinol Metab Clin North Am 1991; 20: 319-62. 2. Pernicone PJ, Bernd WS, Sebo TJ, et al: Pituitary Carcinoma Cancer 1997; 79(4): 804-12. 3. Kemink SA, Wesseling P, Pieters GF, et al: Progression of a Nelson's Adenoma to Pituitary Carcinoma; a case report and review of the literature. J Endocrinol Invest 1999; 22(1): 70-5. 4. Kemink L, Picters G, Hermus A, Smals A, Kloppenborg P: Patient's Age is a Simple Predictive Factor for the development of Nelson's Syndrome after Total Adrenalectomy for Cushing's Disease. J Clin Endocrinol Metab 1994; 79(3): 887-9. 5. Frost AR, Tenner S, Tenner M, Rollhauser C, Tabbara SO: ACTH-Producing Pituitary Carcinoma Presenting as the Cauda Equina Syndrome. Arch Pathol Lab Med 1995; 199(1): 93-6. 6. Lormeau B, Miossec P, Sibony M, Valensi P, Attali JR: Adrenocorticotropin-Producing Pituitary Carcinoma with Liver Metastatis. J Endocrinol Invest 1997; 20(4): 230-6. 7. Buchfelder M, Fahlbusch R, Thierauf P, Muller OA: Observations on the Pathophysiology of Nelson's Syndrome: A Report of Three Cases. Neurosurgery 1990; 27(6): 961-8. 8. Saegler W, Geisler F, Ludecke DK: Pituitary Pathology in Cushing's Disease. Path Res Pract 1988; 183: 592-5. 9. Favia G, Boscaro M, Lumachi F, D'Amico DF: Role of Bilateral Adrenaletomy in Cushing's Disease. World J Surg 1994; 18:462-6.
Relation is Part of Case 4, Session VI, Walsh Session, NANOS 2000; walsh_2000_s6_c4
Contributor Primary Mejico, Luis J.
Contributor Secondary Krolak-Salmon, Pierre; Miller, Neil R.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Image
Format image/jpeg
Source 26th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Rights Management Copyright 2008. 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
Language eng
ARK ark:/87278/s6g44t0p
Setname ehsl_novel_fbw
Date Created 2006-10-15
Date Modified 2012-05-07
ID 177730
Reference URL
Back to Search Results