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Indian J Ophthalmol ; 2011 July; 59(4): 311-312
Article in English | IMSEAR | ID: sea-136197

ABSTRACT

Dengue hemorrhagic fever leading to hemorrhage in pituitary adenoma is not reported till date: We herein report the first case of bilateral visual loss secondary to pituitary adenoma hemorrhage associated with dengue hemorrhagic fever. Urgent transnasal trans sphenoidal decompression of the macroadenoma prevented permanent visual loss in this patient. Pituitary apoplexy should be considered as differential diagnosis of visual deterioration apart from retinal hemorrhage, maculopathy, and optic neuropathy in cases of dengue hemorrhagic fever. Early decompression of optic nerves helped in the restoration of vision.


Subject(s)
Adenoma/blood supply , Adenoma/diagnosis , Adenoma/surgery , Adult , Decompression, Surgical , Severe Dengue/complications , Female , Hemorrhage/etiology , Humans , Magnetic Resonance Imaging , Pituitary Apoplexy/etiology , Pituitary Neoplasms/blood supply , Pituitary Neoplasms/complications , Pituitary Neoplasms/diagnosis , Pituitary Neoplasms/surgery , Rare Diseases
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