A 52-year-old man was presented with a 1-year history of generalized headache, diminished vision, and abnormal eye movements. Examination Fundus examination revealed visual acuity as 20/120 in both eyes and bitemporal hemianopia. Ocular examination revealed rhythmic, torsional, and vertical movement in which the eye rotating inward moved up as the other eye moved down. The movement increased in amplitude during downward gaze.
MRI of the brain (image attached)revealed a giant pituitary adenoma measuring 48mm in diameter (as indicated by arrow) with a suprasellar extension which compressed the optic chiasm. What could be the complication this patient is suffering from? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay connected, the answer will be posted in next 48h!
