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J Neuroophthalmol ; 19(2): 128-30, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10380135

ABSTRACT

A 51-year-old woman had a 3-day history of severe left supraorbital pain associated with blurred vision of the left eye. Examination revealed visual acuity of 20/20 OD and 20/100 OS. A left relative afferent pupillary defect was present. Neuroimaging revealed a large intra-, supra-, and parasellar mass that had eroded through the sphenoid sinus into the maxillary sinus. Secondary pneumocephalus was present. Pathologic examination of the tissue revealed a pituitary adenoma of the null cell type. To the best of our knowledge, there is only one other case in the literature in which a spontaneous pneumatocele represents the initial manifestation of a pituitary adenoma.


Subject(s)
Adenoma/surgery , Pituitary Neoplasms/surgery , Pneumocephalus/etiology , Sneezing , Vision Disorders/etiology , Adenoma/complications , Female , Humans , Middle Aged , Pituitary Neoplasms/complications
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