Developed diplopia due to a pituitary macroadenoma during pregnancy.
Physiologic pituitary enlargement is common during normal pregnancy. However, symptoms such as diplopia, blurred vision and headache resulting from physiologic pituitary enlargement are very rare during pregnancy. A 43-year-old woman complained of sudden headache and left eye ptosis at 36th weeks of gestation. An magnetic resonance imaging (MRI) demonstrated the pituitary enlargement and a macroadenoma without a compressing of the optic chiasm, but with an extension to the left cavernous sinus. 48 hours after the prescription of the bromocriptine, we had a spectacular evolution with disappearance of the headache and a total regression of the ptosis. We report a case of visual loss due to the physiologic pituitary enlargement or to the macroadenoma during pregnancy, which regressed after the prescription of bromocroptine.
['Ennaifer|Houda|H|', 'Jemel|Manel|M|', 'Kandar|Hejer|H|', 'Grira|Wafa|W|', 'Kammoun|Ines|I|', 'Salem|Leila Ben|LB|']
D000236:Adenoma D000328:Adult D001971:Bromocriptine D004172:Diplopia D005260:Female D006261:Headache D006801:Humans D008279:Magnetic Resonance Imaging D010911:Pituitary Neoplasms D011247:Pregnancy D011252:Pregnancy Complications, Neoplastic D014786:Vision Disorders
Diplopia pregnancy ptosis pituitary adenoma