| Identifier |
walsh_2000_s5_c2 |
| Title |
Another "One and a Half"??? |
| Creator |
Andrew G. Lee |
| Subject |
Cushing Syndrome; ACTH-Secreting Pituitary Adenoma; Oculomotor Nerve Diseases; Ophthalmoplegia; Hemianopsia; Optic Neuropathy, Ischemic; Iatrogenic Disease; Postoperative Complications |
| History |
A 29-year-old female with Dx Cushing's disease; Tx TSS with post-surgical sequelae ophthalmoplegia and optic neuropathy. |
| Pathology |
Loss of vision following TSS |
| Disease/Diagnosis |
Post-surgical complication of transphenoid surgery |
| Clinical |
VA: Hand movements OD, 20/20 OS |
| Presenting Symptom |
Dilated pupil OD with loss of vision post-surgery |
| Neuroimaging |
CT; MRI |
| Treatment |
Surgery; IV steroids |
| Date |
2000-03-25 |
| References |
1. Dollfus H, Gomberg S, Touraine P, et al. Unusual scotomas after transphenoidal surgery of a pituitary macroadenoma. J. Neuro-ophthalmol 1997;17:204-6. 2. Fahlbusch R, Buchfelder M. Surgical complications. In Pituitary Adenomas. Eds Landolt AM, Vance ML, Reilly PL. New York, NY, 1996, pp 395-408. 3. Haran RP, Chandy MJ. Symptomatic pneumocephalus after transsphenoidal surgery. Surg Neurol 1997;48:575-8. 4. Hardy J, Mohn G. Le Prolactinome: Aspects chirurgicaux. Neurochirurgie 1981;27(supp):41-60. 5. Kuroyanagi T, Kobayashi S, Takemae T, et al. Subarachnoid hemorrhage, midbrain hemorrhage and thalamic infarction following transsphenoidal removal of a pituitary adenoma. A case report. Neurosurg Rev 1994;17:161-165. 6. Matsuno A, Yoshida S, Basugi N, et al. Severe subarachnoid hemorrhage during transsphenoidal surgery for pituitary adenoma. Surg Neurol 1993;39:276-8. 7. Laws ER, Kern EB. Complications of transphenoidal surgery. Clin Neurosurg 1976;23:401-16. 8. Pigott TJ, Holland IM, Punt JA. Carotica-cavernous fistula after transsphenoidal hypophysectomy. Br J Neurosurg 1989;3:613-6. 9. Wilson CB, Dempsey LC. Transphenoidal microsurgical removal of 250 pituitary adenomas 1978;48:13-22. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
32nd Annual Frank Walsh Society Meeting |
| Relation is Part of |
Session 5, Case 2, Walsh Session, NANOS 2000 |
| Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416 |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s62j6fmc |
| Contributor Primary |
Lee, Andrew, G. |
| Contributor Secondary |
Tang, Rosa A.; Schiffman, Jade S.; Chevez-Barrios, Patricia |
| Setname |
ehsl_novel_fbw |
| ID |
178182 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s62j6fmc |
