PMC5545576_01
Postcontrast T1-weighted magnetic resonance imaging. (A) Coronal view showing frontal lobe herniation (thick arrow) and a 5 mm hypointense lesion (thin arrow), and (B) sagittal view showing chiasm herniation and a 5 mm hypointense lesion.
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F1
Brain MRI showed herniation of frontal lobe and optic chiasm into the pituitary sella, as well as a pituitary hypointense lesion measuring 5 mm x 5 mm after gadolinium injection (Figure 1) and she was referred to our department.
Automated perimetry showing left temporal hemianopia.
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F2
Formal visual field test showed left bitemporal hemianopia (right eye blindness) (Figures 2 and 3).
Goldmann perimetry showing left temporal hemianopia.
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F3
Formal visual field test showed left bitemporal hemianopia (right eye blindness) (Figures 2 and 3).
Coronal postcontrast T1-weighted image 5 months after therapy with bromocriptine.
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F4
A repeat brain MRI performed 5 months later showed disappearance of pituitary lesion, with no changes in brain and chiasmal herniation (Figure 4).