Abstract
Visual loss is the mode of presentation in approx one third of patients, and thus one of the most common ways in which pituitary tumors are discovered, and some understanding of the signs of chiasmatic compression are known to most reasonably alert medical students from their early neuroanatomy studies! A clearer understanding of the ways in which the visual system is affected by tumors arising from the sella is important for two reasons. First, all pituitary tumors—functional, nonfunctional and nonadenomatous—can affect the eyesight once they extend outside the fossa, either upward, as is more common, or sideways. Secondly, detection of asymptomatic involvement of the visual pathways can provide important evidence about the extent of pituitary tumors presenting in other ways and improve outcome by timely intervention.
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References
Nachtigäller H, Hoyt WF. Störungen des Seheindruckes bei bitemporaler Hemianopsie and Verscheibung der Sehachsen. Klin Monatsbl Augenheilk 1970; 156: 821–836.
Kirkham TH. The ocular symptamatology of pituitary tumors. Proc R Soc Med 1972; 65: 517–518.
Smith KJ, MacDonald WI. Spontaneous and evoked discharges from a central demyelinating lesion. J Neurol Sci 1982; 55: 39–47.
Glaser JS. Neuro-opthalmology, 2nd ed. Philadelphia: Lipincott; 1990.
Kayan A, Earl CJ. Compressive lesions of the optic nerves and chiasm: pattern of recovery of vision following surgical treatment. Brain 1975; 98: 13–28.
Clifford-Jones RE, MaDonald WI, Landon DN. Chronic optic compression: an experimental study. Brain 1985; 108: 241–262.
Darian-Smith C, Gilbert CD. Axonal sprouting accompanies reorganization in the adult cat striate cortex. Nature 1994; 368: 737–740.
Laws ER Jr, Trautman JC, Mollenhorst RW. Transsphenoidal decompression of the optic nerve and chiasm—visual results in sixty-two patients. J Neurosurg 1977; 46: 717–722.
Powell MP. The recovery of vision following transsphenoidal surgery for pituitary adenomas. Brit J Neurosurg 1995; 9: 367–373.
Symon L, Jakubowski J. Transcranial management of pituitary tumors with suprasellar extension. J Neurol Neurosurg Psychiatry 1979; 42: 123–133.
Cohen AR, Cooper PR, Kupersmith MJ, Flamm ES, Ransohoff J. Visual recovery after transsphenoidal removal of pituitary adenomas. Neurosurgery 1985; 17: 446–452.
Findlay G, McFadzean RM, Teasdale G. Recovery of vision following treatment of pituitary tumours: application of a new system of visual assessment. Trans Ophthalmol Soc UK 1983; 103 (Pt 2): 212–216.
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MacDonald, I., Powell, M.P. (2003). Visual Manifestations of Pituitary Tumors. In: Powell, M.P., Lightman, S.L., Laws, E.R. (eds) Management of Pituitary Tumors. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-390-3_6
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DOI: https://doi.org/10.1007/978-1-59259-390-3_6
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-61737-327-5
Online ISBN: 978-1-59259-390-3
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