Affiliation
Department of Ophthalmology, Beaumont Hospital, Dublin 9, Ireland.Issue Date
2009-06MeSH
HumansMale
Middle Aged
Optic Chiasm
Optic Nerve Diseases
Pituitary Apoplexy
Time Factors
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Delayed diagnosis in a sight-threatening lesion. 2009, 178 (2):215-7 Ir J Med SciJournal
Irish journal of medical scienceDOI
10.1007/s11845-008-0117-3PubMed ID
18274817Abstract
Acute chiasmal compression has several aetiologies including pituitary apoplexy, a medical emergency caused by acute haemorrhagic or ischemic infarction in pituitary macroadenomas. Clinical diagnosis can often be difficult as the patient is frequently unaware of an existing adenoma. Delayed diagnosis may lead to increased morbidity and mortality.We describe a rarely presenting case report of acute chiasmal compression with unusual visual symptoms of hemifield slide, with initial delayed diagnosis.
Knowledge of this infrequently presenting visual phenomenon may aid in rapid diagnosis, appropriate imaging and intervention leading to improved visual and systemic outcomes.
Item Type
ArticleLanguage
enISSN
1863-4362ae974a485f413a2113503eed53cd6c53
10.1007/s11845-008-0117-3
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