|
|||
| |||||||||||||||||||||||||||||||||||||
A 44-year-old woman was admitted to the hospital because of headache, blurred vision, and an intrasellar mass.
She had been well until nine months earlier, when a vaginal hysterectomy was performed because of uterine prolapse; no oophorectomy was performed. Three months before admission occipital headaches developed and persisted for five weeks. Seven weeks before admission a computed tomographic (CT) scan of the cranium (Figure 1) disclosed a slightly enlarged, homogeneously enhanced pituitary gland (height, 12 mm). The patient began to have nocturnal hot flashes and insomnia. Hormonal studies were performed (Table 1).
|
Clinical Diagnosis
Dr. Jeffrey R. Garber's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved. |