"Hypopituitarism secondary to pituitary or sellar masses may have a variety of manifestations such as headaches, visual disturbances from optic nerve compression, amenorrhea with or without galactorrhea, infertility from hypogonadism and symptoms of hyperprolactinemia. Diagnosing a pituitary lesion requires contrast Computed Tomography Scan (CT) or Magnetic Resonance Imaging (MRI) once the clinical suspicion is established based on a detailed history and physical exam. The MRI has proven to be advantageous over CAT scan and does not expose the patient to ionizing radiation. MRI is the investigation of choice for evaluation of sellar and juxta sellar structures. Though the MRI is a very sensitive test, its interpretation needs to be carried out by an expert in the field of neuroradiology. A wrong diagnosis may delay the management of a patient and lead to unwarranted complications such as intracerebral hemorrhage and even death.
(Jashoman Banerjee, Sana N Khan, Solafa Elshatanoufy and Manvinder Singh- Hypopituitarism Secondary to Unruptured Intrasellar Aneurysm Misdiagnosed as Pituitary Adenoma: A Case Report)
Last date updated on June, 2014