Document Details

Document Type : Article In Journal 
Document Title :
Brain & Chiasmal Herniations into Sella after Medical Treatment of Prolactinoma
Brain & Chiasmal Herniations into Sella after Medical Treatment of Prolactinoma
 
Subject : Neurosurgery 
Document Language : English 
Abstract : BACKGROUND: Dopamine agonists are widely used in the treatment of pituitary prolactinomas. We report a case of inferior mesial frontal lobe (gyrus rectus) and chiasmal herniations into an enlarged sella following successful medical treatment of a pituitary macroadenoma. METHOD: A 71-year-old healthy man presented to medical attention with visual complaints. On examination, he was found to have bitemporal hemianopsia. Endocrine evaluation revealed an elevated prolactin level. He was treated medically with a dopamine agonist (bromocriptine). RESULTS: Evaluation after one year of medical treatment revealed stabilization of the patient's vision, with a significant bitemporal field loss. Serum prolactin levels normalized (5.16 ng/ml). The MRI of the sella showed almost complete disappearance of the tumor, resulting in right mesial frontal lobe herniation inferiorly into an enlarged sella with associated chiasmal deformation. CONCLUSIONS: We report a case where successful medical treatment of a large pituitary prolactinoma has resulted in inferior frontal lobe and chiasmal herniatons into an enlarged sella 
ISSN : 0317-1671 
Journal Name : The Canadian Journal of Neurological Sciences 
Volume : 33 
Issue Number : 2 
Publishing Year : 1427 AH
2006 AD 
Article Type : Case Report 
Added Date : Sunday, March 20, 2011 

Researchers

Researcher Name (Arabic)Researcher Name (English)Researcher TypeDr GradeEmail
محمد بنقشBangash, Mohammed InvestigatorDoctorate 

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