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Related Experiment Video

Updated: Aug 4, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Pituitary hyperplasia resulting in visual deficit.

Wail Salah Altaib1, Mohamed Osman Dablouk1, Michael Jansen2

  • 1Department of Neurosurgery, Cork University Hospital, Wilton, Cork, Ireland.

Surgical Neurology International
|April 7, 2023
PubMed
Summary

Pituitary hyperplasia, a rare cause of vision loss, can be treated with surgical decompression. This case highlights the importance of considering pituitary hyperplasia in patients with unexplained visual disturbances.

Keywords:
HyperplasiaPituitaryTranssphenoidalVisual field

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Area of Science:

  • Endocrinology
  • Ophthalmology
  • Neurosurgery

Background:

  • Pituitary hyperplasia is an uncommon condition leading to visual disturbances.
  • Few documented cases exist in medical literature.

Observation:

  • A 16-year-old female presented with headache and blurred vision.
  • Examination showed significantly constricted visual fields and an enlarged pituitary gland on imaging.
  • Hormonal levels were within the normal range.

Findings:

  • Endoscopic endonasal transsphenoidal biopsy confirmed pituitary hyperplasia.
  • Surgical decompression of the optic apparatus resulted in immediate visual improvement.

Implications:

  • Surgical decompression is a viable option for preserving vision in patients with pituitary hyperplasia and visual deficits.
  • This approach should be considered when no other reversible causes are identified.