Planum sphenoidale meningioma leading to visual disturbance. uri icon

Overview

abstract

  • A 60-year-old male presented with complaints of dizziness, which worsened with fatigue and a sense his balance was 'off'. Initial physical examination was negative and the laboratory testing was unremarkable. Within weeks, the patient developed bilateral visual field deficits. MRI revealed an extra-axial mass which extended into the pituitary fossa and caused compression of the pituitary gland. The pituitary stalk was displaced posteriorly and the optic chiasm was compressed with displacement superiorly and posteriorly. The patient underwent a surgical resection. Diabetes insipidus developed postoperatively requiring a vasopressin drip. He also developed hypopituitarism after the resection with hypothyroidism, hypoadrenalism and hypogonadism. The patient requires testosterone, levothyroxine and hydrocortisone replacement and has mild residual bitemporal hemianopsia.

publication date

  • August 31, 2011

Research

keywords

  • Meningeal Neoplasms
  • Meningioma
  • Vision Disorders

Identity

PubMed Central ID

  • PMC3176386

Scopus Document Identifier

  • 80053082068

Digital Object Identifier (DOI)

  • 10.1136/bcr.07.2011.4511

PubMed ID

  • 22679053

Additional Document Info

volume

  • 2011