PMC5820907_01
Coronal and Axial brain magnetic resonance imaging at the time of initial diagnosis
AJNS-13-93-g001.jpg
PMC5820907_01_AJNS-13-93-g001.jpg
F1
(a) Brain computed tomography scan. (b and c) Sagittal and coronal brain magnetic resonance imaging showing intra-tumoral hemorrhage and re-expansion of the tumor capsule. (d) The preoperative visual perimetry that shows bilateral visual loss with the right eye prominence
AJNS-13-93-g002.jpg
PMC5820907_01_AJNS-13-93-g002.jpg
F2
Urgent brain MRI and computed tomography scan were done, which revealed massive intratumoral hemorrhage [Figure 2a-c]. The visual field study showed marked restriction of the visual field, more prominent on the right side [Figure 2d].
Left (a) and right (b) postoperative perimetry depicting remarkable improvement of the visual fields
AJNS-13-93-g003.jpg
PMC5820907_01_AJNS-13-93-g003.jpg
F3
The patient visual field and acuity improved dramatically just after the surgery [Figure 3] and the postoperative course was uneventful.
(a) Coronal view of the gadolinium-enhanced early postoperative brain magnetic resonance imaging. There is a small shell of tumor remnant (a: asterix) at the floor of the third ventricle abutting the hypothalamus. (b) Sagittal section of the left side of the sellar region showing that the pituitary stalk (b: arrow) and gland (b: asterix) have been well preserved
AJNS-13-93-g004.jpg
PMC5820907_01_AJNS-13-93-g004.jpg
F4
An early postoperative brain MRI confirmed radical tumor removal and decompression of the optic nerves [Figure 4].