Microprolactinoma with visual field defect: An unsuspected etiology

Microprolactinomas present usually with menstrual disturbance and galactorrhoea. The presence of visual field defects is not expected in these patients as the tumor does not involve structures outside the sella. Visual field defects in a case of microprolactinoma confuse the clinician and warrant ex...

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Main Authors: K. V. S. Hari Kumar, Shikar Gaur, Somasekharan Manoj, Debraj Sen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=7;spage=122;epage=124;aulast=Kumar
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author K. V. S. Hari Kumar
Shikar Gaur
Somasekharan Manoj
Debraj Sen
author_facet K. V. S. Hari Kumar
Shikar Gaur
Somasekharan Manoj
Debraj Sen
author_sort K. V. S. Hari Kumar
collection DOAJ
description Microprolactinomas present usually with menstrual disturbance and galactorrhoea. The presence of visual field defects is not expected in these patients as the tumor does not involve structures outside the sella. Visual field defects in a case of microprolactinoma confuse the clinician and warrant extensive search for an alternate etiology. We present a young lady with microprolactinoma and visual field defects. Etiological work-up revealed a diagnosis of idiopathic intracranial hypertension (IIH) associated with microprolactinoma. Treatment with Acetazolamide and Cabergoline completely resolved the clinical symptoms and visual defects. The unusual occurrence of IIH in a case of microprolactinoma as the cause of visual field defect is highlighted in our case report.
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spelling doaj.art-adb4bbb10d15480899098777ac8d94e92022-12-22T03:56:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102230-95002013-01-0117712212410.4103/2230-8210.119526Microprolactinoma with visual field defect: An unsuspected etiologyK. V. S. Hari KumarShikar GaurSomasekharan ManojDebraj SenMicroprolactinomas present usually with menstrual disturbance and galactorrhoea. The presence of visual field defects is not expected in these patients as the tumor does not involve structures outside the sella. Visual field defects in a case of microprolactinoma confuse the clinician and warrant extensive search for an alternate etiology. We present a young lady with microprolactinoma and visual field defects. Etiological work-up revealed a diagnosis of idiopathic intracranial hypertension (IIH) associated with microprolactinoma. Treatment with Acetazolamide and Cabergoline completely resolved the clinical symptoms and visual defects. The unusual occurrence of IIH in a case of microprolactinoma as the cause of visual field defect is highlighted in our case report.http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=7;spage=122;epage=124;aulast=KumarDiopathic intracranial hypertensionmicroprolactinomavisual field defect
spellingShingle K. V. S. Hari Kumar
Shikar Gaur
Somasekharan Manoj
Debraj Sen
Microprolactinoma with visual field defect: An unsuspected etiology
Indian Journal of Endocrinology and Metabolism
Diopathic intracranial hypertension
microprolactinoma
visual field defect
title Microprolactinoma with visual field defect: An unsuspected etiology
title_full Microprolactinoma with visual field defect: An unsuspected etiology
title_fullStr Microprolactinoma with visual field defect: An unsuspected etiology
title_full_unstemmed Microprolactinoma with visual field defect: An unsuspected etiology
title_short Microprolactinoma with visual field defect: An unsuspected etiology
title_sort microprolactinoma with visual field defect an unsuspected etiology
topic Diopathic intracranial hypertension
microprolactinoma
visual field defect
url http://www.ijem.in/article.asp?issn=2230-8210;year=2013;volume=17;issue=7;spage=122;epage=124;aulast=Kumar
work_keys_str_mv AT kvsharikumar microprolactinomawithvisualfielddefectanunsuspectedetiology
AT shikargaur microprolactinomawithvisualfielddefectanunsuspectedetiology
AT somasekharanmanoj microprolactinomawithvisualfielddefectanunsuspectedetiology
AT debrajsen microprolactinomawithvisualfielddefectanunsuspectedetiology