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Chiasmal syndrome caused by pituitary-sellar disproportion
Z Elias1, S K Powers, B S Grimson
1Department of Ophthalmology, University of North Carolina, Chapel Hill 27514.
Surgical Neurology
|November 1, 1987
Abstract:
A patient with pituitary-sellar disproportion, a perichiasmal visual field defect, and no clinically demonstrable endocrinopathy is presented. Radiographic and pathologic studies suggested that the pituitary-sellar disproportion was secondary to sellar hypoplasia, a previously unrecognized cause of the chiasmal syndrome. It remains to be seen whether hormonal manipulation aimed at suppression of gonadotropin- and/or prolactin-secreting cells might obviate the need for exploration in patients similar to ours.