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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 307-309
DOI: 10.4103/ajns.AJNS_178_18
Case Report

Optic tract edema: A rare entity in pituitary macroadenoma

Sanjay Kumar
Department of Neurosurgery, Command Hospital (Southern Command), Pune, Maharashtra
,
Ashok Kumar
Department of Neurosurgery, Command Hospital (Southern Command), Pune, Maharashtra
,
Maneet Gill
Department of Neurosurgery, Command Hospital (Southern Command), Pune, Maharashtra
,
Vikas Maheshwari
Department of Neurosurgery, Command Hospital (Southern Command), Pune, Maharashtra
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Pituitary tumors are relatively common tumors accounting for almost 15% of all primary brain tumors. Pituitary macroadenomas cause mass effect on the optic apparatus causing a myriad of visual deficits. On imaging generally the anterior visual pathway is involved which may be compressed by the mass lesion. Edema in the posterior visual pathway, i.e., optic tracts on magnetic resonance imaging is a relatively common finding in craniopharyngiomas and other metastatic lesions in the pituitary region. Edema in the optic tracts in pituitary macradenomas is a very rare entity as reported by various authors in literature. We report a case of optic tract edema in a case of pituitary macroadenoma which caused rapid deterioration in the vision of the patient and improved after administration of steroids.

Key-words:

Craniopharyngioma - optic tract edema - pituitary macroadenoma

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Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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