Pituitary apoplexy physical examination: Difference between revisions
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===Eye=== | ===Eye=== | ||
* Visual acuity defects (52%) and visual field defects (64%) result from upward expansion of the tumor, which compresses the optic chiasm, optic tracts, or optic nerve. The classic visual field defect is a bitemporal superior quadrantic defect. Optic tract involvement from a prefixed chiasm is less common and results in a contralateral homonymous hemianopia. Optic nerve compression from a postfixed chiasm is rare and may mimic optic neuritis with pain on eye movement, monocular visual acuity loss, and a central scotoma on visual field testing. | * Visual acuity defects (52%) and visual field defects (64%) result from upward expansion of the tumor, which compresses the optic chiasm, optic tracts, or optic nerve. The classic visual field defect is a bitemporal superior quadrantic defect. Optic tract involvement from a prefixed chiasm is less common and results in a contralateral homonymous hemianopia. Optic nerve compression from a postfixed chiasm is rare and may mimic optic neuritis with pain on eye movement, monocular visual acuity loss, and a central scotoma on visual field testing.<ref name="pmid18588383">{{cite journal| author=Bahmani Kashkouli M, Khalatbari MR, Yahyavi ST, Borghei-Razavi H, Soltan-Sanjari M| title=Pituitary apoplexy presenting as acute painful isolated unilateral third cranial nerve palsy. | journal=Arch Iran Med | year= 2008 | volume= 11 | issue= 4 | pages= 466-8 | pmid=18588383 | doi=08114/AIM.0022 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18588383 }} </ref> | ||
===Extremities=== | ===Extremities=== | ||
Revision as of 20:06, 24 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Physical Examination
Vitals
Skin
Eye
- Visual acuity defects (52%) and visual field defects (64%) result from upward expansion of the tumor, which compresses the optic chiasm, optic tracts, or optic nerve. The classic visual field defect is a bitemporal superior quadrantic defect. Optic tract involvement from a prefixed chiasm is less common and results in a contralateral homonymous hemianopia. Optic nerve compression from a postfixed chiasm is rare and may mimic optic neuritis with pain on eye movement, monocular visual acuity loss, and a central scotoma on visual field testing.[1]
Extremities
- Atrophy of limbs
Neurologic
- Delayed reflexes
References
- ↑ Bahmani Kashkouli M, Khalatbari MR, Yahyavi ST, Borghei-Razavi H, Soltan-Sanjari M (2008). "Pituitary apoplexy presenting as acute painful isolated unilateral third cranial nerve palsy". Arch Iran Med. 11 (4): 466–8. doi:08114/AIM.0022 Check
|doi=value (help). PMID 18588383.