Abstract | BACKGROUND: CASE DESCRIPTION: We describe the case of a 79-year-old man who was found to have an intrasellar pituitary incidentaloma. The tumor was discovered accidentally, during an investigation into the cause of his dizziness. Two months later, he suddenly developed headaches, left ophthalmoplegia, decreased vision, severe blepharoptosis and diplopia. He was diagnosed with PA and hypocortisolemia based on magnetic resonance imaging (MRI) and blood tests, respectively. His symptoms of oculomotor palsy and optic nerve compression were serious, but his ophthalmological deficits were nonprogressive and his hormone levels improved through conservative treatment ( hydrocortisone supplementation). Due to this older patient's poor physical condition and serious coronary heart disease, after multidisciplinary consultation and according to his family's wishes, we continued the conservative treatment and watched closely for any changes in the patient's condition. After 6 months of conservative treatment, the patient's symptoms of oculomotor nerve paralysis, pupil and vision defects completely disappeared, and no new complications occurred. Repeated MRI tests showed that the PA lesion gradually improved. The patient's hypocortisolemia was completely relieved through oral supplementation with low-dose hydrocortisone. CONCLUSION:
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Authors | Yanghua Fan, Xinjie Bao, Renzhi Wang |
Journal | Clinical interventions in aging
(Clin Interv Aging)
Vol. 13
Pg. 1981-1985
( 2018)
ISSN: 1178-1998 [Electronic] New Zealand |
PMID | 30349217
(Publication Type: Case Reports, Journal Article, Systematic Review)
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Chemical References |
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Topics |
- Aged
- Conservative Treatment
- Humans
- Hydrocortisone
(blood, therapeutic use)
- Incidental Findings
- Male
- Nerve Compression Syndromes
(etiology)
- Ophthalmoplegia
(etiology)
- Optic Nerve
- Pituitary Apoplexy
(drug therapy, etiology)
- Pituitary Neoplasms
(complications, diagnostic imaging)
- Vision Disorders
(etiology)
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