Case Report
Volume 11 Issue 7 - 2020
Asymmetric Papilledema in a Patient with a Pituitary Microprolactinoma, a Clinical Twist
Behzad Mansouri1,3*, Tenley N Bower1,2 and Gerardo D Camoriano1,2
1Department of Ophthalmology, University of Manitoba, Winnipeg, Manitoba, Canada
2Winnipeg Clinic, Winnipeg, Manitoba, Canada
3Department of Internal Medicine, Section of Neurology, University of Manitoba, Winnipeg, Manitoba, Canada
*Corresponding Author: Behzad Mansouri, Department of Ophthalmology and Department of Internal Medicine, Section of Neurology, University of Manitoba, Winnipeg, Manitoba, Canada.
Received: May 06, 2020; Published: June 10, 2020


A 33 year old woman with a known pituitary microprolactinoma was referred to our clinic for visual field evaluation. On examination and subsequent testing she was found to have asymmetric bilateral disc elevation. Visual field testing revealed generalized constriction in the right eye and a full visual field in the left eye. On follow-up magnetic resonance imaging (MRI), the pituitary prolactinoma was stable in size (8 mm) without impingement on the visual pathways or extension into the cavernous sinus. Magnetic resonance venography (MRV) did not reveal any intracranial venous occlusion or sinus stenosis. Subsequent lumbar puncture revealed an opening cerebrospinal fluid (CSF) pressure of 250 mmH2O with normal CSF composition, which clinched the diagnosis of idiopathic intracranial hypertension (IIH).

Keywords: Disc Edema; Papilledema, Pituitary; Adenoma; Microadenoma; Prolactinoma; Microprolactinoma; Idiopathic Intracranial Hypertension


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Citation: Behzad Mansouri., et al. “Asymmetric Papilledema in a Patient with a Pituitary Microprolactinoma, a Clinical Twist”. EC Ophthalmology 11.7 (2020): 55-60

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