Case Presentation An elderly postmenopausal woman with a history of hypertension presented with a two-month history of dull, non-radiating holocranial headaches and non-bilious vomiting. The symptoms were partially relieved by paracetamol.
She also reported a transient three-day episode of vision loss in her left eye, which resolved spontaneously. Initial Examination Oriented to time, place, and person Intact higher mental functions Cranial nerves and motor system: Normal No sensory deficits or signs of meningeal irritation ENT: Deviated nasal septum to the right Ophthalmology: Normal visual fields and findings Systemic examination: Unremarkable Investigations MRI Scan (Cover image): Enlarged sella with a 16×17×19 mm solid-cystic lesion Isointense sellar/suprasellar mass with FLAIR hyperintensity Shows heterogeneous post-contrast enhancement Hormonal Assay: Low follicle-stimulating…
