Paralysis of the Extraocular Muscles in Tumors of the Sella Turcica Region

  • M. Schäfer
  • W.-I. Steudel
  • H. Grau

Abstract

Palsies of extraocular muscles in sellar tumors are only rarely observed, in contrast to disturbances of visual acuity and the visual field (Walsh 1956, 1969, Symonds 1962, German 1964). As a rule, they depend on parasellar spreading of the tumor (Cairns 1938, Weinberger et al. 1940, Nicola 1972). Computerized tomography (CT) has proved reliable in the diagnosis of hypophyseal processes (Kazner 1978) especially when there is parasellar spreading. The clinical findings are compared with the CT result in eight patients who had sellar processes with ocular muscle disorders.

Keywords

Adenoma Neurol Excavation Prolactin Ophthalmoplegia 

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References

  1. Cairns H (1938) Peripheral ocular palsies from the neurosurgical point of view. Trans Ophthalmol Soc UK 58 (2): 464–482Google Scholar
  2. Chamlin M, Davidoff L (1962) Ophthalmologic criteria in diagnosis and management of pituitary tumors. J Neurosurg 19: 9–18PubMedCrossRefGoogle Scholar
  3. Foix C (1922) Syndrome de la paroi externe des sinus caverneux. Rev Neurol (Paris) 29: 827–832Google Scholar
  4. German WJ, Flanigan S (1964) Pituitary adenomas, a follow-up study of Cushing series. Clin Neurosurg 10: 72–81PubMedGoogle Scholar
  5. Jefferson G (1940) Extrasellar extension of pituitary adenomas. Proc R Soc Med 33: 433–458PubMedGoogle Scholar
  6. Kazner E, Fahlbusch R, Lanksch W et al. (1978) Computerized tomography in diagnosis and follow-up examination of pituitary adenomas. In: Fahlbusch R, Werder K (eds) Treatment of pituitary adenomas. Thieme, Stuttgart, p 101–114Google Scholar
  7. Lyle TK, Clover P (1961) Ocular symptoms and signs in pituitary tumors. Proc R Soc Med 54: 611–619PubMedGoogle Scholar
  8. Nicola G (1972) Transsphenoidal surgery for pituitary adenomas with extrasellar extension. In: Progress in neurological surgery, vol 6. Karger, Basel, p 142–149Google Scholar
  9. Symonds C (1962) Ocular palsy as the presenting symptom of pituitary adenoma. Bull Hopkins Hosp 82: 72–82Google Scholar
  10. Walsh FB (1949) Bilateral total ophthalmoplegia with adenoma of the pituitary gland. Arch Ophthalmol 42: 646–654CrossRefGoogle Scholar
  11. Walsh FB (1956) The ocular signs of tumor involving the anterior visual pathways. Am J Ophthalmol 42: 349–377Google Scholar
  12. Walsh FB, Hoyt WF (1969) Clinical Neuroophthalmology, 3rd ed, Vol 3. Williams, Baltimore, p 2141–2143Google Scholar
  13. Weinberger LM, Adler FH, Grant FC (1940) Primary pituitary adenoma and the syndrome of the cavernous sinus. Arch Ophthalmol 14: 1197–1236CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1981

Authors and Affiliations

  • M. Schäfer
    • 1
  • W.-I. Steudel
    • 1
  • H. Grau
    • 1
  1. 1.FrankfurtGermany

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