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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 328:566-573 February 25, 1993 Number 8
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Case 8-1993— A 62-Year-Old Cape Verdean Woman with Blurred Vision, Diplopia, a Suprasellar Mass, and Lymphocytic Meningitis
James H. Maguire, and Maureen R. Tierney

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Presentation of Case

A 62-year-old woman was seen in the neuro-oncology clinic because of a question of a suprasellar tumor.

There was a 15-to-20-year history of "migraine headaches," with nausea and vomiting. The patient was well otherwise until six months earlier, when she experienced the first of several episodes of visual blurring and horizontal diplopia for a few minutes, associated with headache. A cranial computed tomographic (CT) scan at another hospital showed "a tumor near the pituitary gland." A magnetic resonance imaging (MRI) scan of the cranium verified the finding. Midline frontal headaches continued and occurred weekly; they persisted for three days and . . . [Full Text of this Article]

Differential Diagnosis

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Dr. James H. Maguire's Diagnosis

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References


Related Letters:

Case 8-1993: Cysticercosis
Del Brutto O. H., Maguire J. H., Henson J. W.
Extract | Full Text  
N Engl J Med 1993; 329:813, Sep 9, 1993. Correspondence

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