Morphological optic nerve changes in a patient who has not undergone surgery for her giant pituitary adenoma: a case report

Authors

  • K. S. Iegorova SI “Romodanov Neurosurgery Institute, NAMS of Ukraine” https://orcid.org/0000-0003-2801-3658
  • T. A. Malysheva SI “Romodanov Neurosurgery Institute, NAMS of Ukraine”
  • M. O. Guk SI “Romodanov Neurosurgery Institute, NAMS of Ukraine”
  • O. G. Chernenko SI “Romodanov Neurosurgery Institute, NAMS of Ukraine”
  • G. A. Shmeleva SI “Romodanov Neurosurgery Institute, NAMS of Ukraine”
  • V. V. Musulevska SI “Romodanov Neurosurgery Institute, NAMS of Ukraine”
  • V. A. Pastukhova National University of Ukraine on Physical Education and Sport

DOI:

https://doi.org/10.31288/oftalmolzh202447176

Keywords:

pituitary gland, anterior pituitary tumors, compressive optic neuropathy, pathohistological changes, invasive expansion

Abstract

We report a lethal case of a female patient who has not undergone surgery for her giant invasive infrasellar/endosellar/suprasellar/parasellar/retrosellar pituitary adenoma. The paper presents results of histological examination of optic nerves and considers the mechanisms of vision loss in prolonged chiasmal and optic nerve compression.

References

Louis DN, Perry A, Wesseling P, Brat DJ, Cree IA, Figarella-Branger D, et al. The 2021 WHO Classification of Tumors of the Central Nervous System: a summary. Neuro Oncol. 2021 Aug 2;23(8):1231-1251.PMID: 34185076; PMCID: PMC8328013. https://doi.org/10.1093/neuonc/noab106

Ibrahim B, Mandel M, Ali A, Najera E, Obrzut M, Adada B, et al. Pituitary Adenomas: Classification, Clinical Evaluation and Management [Internet]. Skull Base Surgery. IntechOpen; 2022. https://doi.org/10.5772/intechopen.103778

Mooney MA, Hardesty DA, Sheehy JP, Bird CR, Chapple K, White WL, Little AS. Rater Reliability of the Hardy Classification for Pituitary Adenomas in the Magnetic Resonance Imaging Era. J Neurol Surg B Skull Base. 2017 Oct;78(5):413-418. Epub 2017 Jun 7. PMID: 28875120; PMCID: PMC5582963 https://doi.org/10.1055/s-0037-1603649

Iglesias P, Rodríguez Berrocal V, Díez JJ. Giant pituitary adenoma: histological types, clinical features and therapeutic approaches. Endocrine. 2018 Sep;61(3):407-421. Epub 2018 Jun 16. PMID: 29909598. https://doi.org/10.1007/s12020-018-1645-x

Pascual-Corrales E, Acitores Cancela A, Baonza G, Madrid Egusquiza I, Rodríguez Berrocal V, Araujo-Castro M. Clinical presentation and surgical outcomes of very large and giant pituitary adenomas: 80 cases in a cohort study of 306 patients with pituitary adenomas. Acta Neurochir (Wien). 2024 May 21;166(1):225. PMID: 38772927. https://doi.org/10.1007/s00701-024-06107-w

Himonakos C, Burman P, Borg H, Dahlqvist P, Engström BE, Ekman B, Emilsson L, Olsson DS, Ragnarsson O, Wahlberg J, Åkerman AK, Höybye C, Berinder K. Long-term Follow-up of 84 Patients With Giant Prolactinomas-A Swedish Nationwide Study. J Clin Endocrinol Metab. 2023 Nov 17;108(12):e1506-e1514. PMID: 37403202; PMCID: PMC10655522. https://doi.org/10.1210/clinem/dgad393

Trouillas J, Roy P, Sturm N, Dantony E, Cortet-Rudelli C, Viennet G, Bonneville JF, Assaker R, Auger C, Brue T, Cornelius A, Dufour H, Jouanneau E, François P, Galland F, Mougel F, Chapuis F, Villeneuve L, Maurage CA, Figarella-Branger D, Raverot G; members of HYPOPRONOS; Barlier A, Bernier M, Bonnet F, Borson-Chazot F, Brassier G, Caulet-Maugendre S, Chabre O, Chanson P, Cottier JF, Delemer B, Delgrange E, Di Tommaso L, Eimer S, Gaillard S, Jan M, Girard JJ, Lapras V, Loiseau H, Passagia JG, Patey M, Penfornis A, Poirier JY, Perrin G, Tabarin A. A new prognostic clinicopathological classification of pituitary adenomas: a multicentric case-control study of 410 patients with 8 years post-operative follow-up. Acta Neuropathol. 2013 Jul;126(1):123-35. doi: 10.1007/s00401-013-1084-y. Epub 2013 Feb 12. PMID: 23400299. https://doi.org/10.1007/s00401-013-1084-y

Müslüman AM, Cansever T, Yılmaz A, Kanat A, Oba E, Çavuşoğlu H, Sirinoğlu D, Aydın Y. Surgical results of large and giant pituitary adenomas with special consideration of ophthalmologic outcomes. World Neurosurg. 2011 Jul-Aug;76(1-2):141-8; discussion 63-6. PMID: 21839965. https://doi.org/10.1016/j.wneu.2011.02.009

Solari D, Cavallo LM, Graziadio C, Corvino S, Bove I, Esposito F, Cappabianca P. Giant Non-Functioning Pituitary Adenomas: Treatment Considerations. Brain Sci. 2022 Sep 16;12(9):1256. https://doi.org/10.3390/brainsci12091256

Gnanalingham KK, Bhattacharjee S, Pennington R, Ng J, Mendoza N. The time course of visual field recovery following transphenoidal surgery for pituitary adenomas: predictive factors for a good outcome. J Neurol Neurosurg Psychiatry. 2005; 76(3):415-9. doi: 10.1136/jnnp.2004.035576 https://doi.org/10.1136/jnnp.2004.035576

Tagoe N N, Essuman V A, Fordjuor G, Akpalu G, Bankah P, Ndanu T. Neuro-ophthalmic and clinical characteristics of brain tumours in a tertiary hospital in Ghana. Ghana Med J. 2015; 49(3):181-6. https://doi.org/10.4314/gmj.v49i3.9

Esposito D, Olsson DS, Ragnarsson O, Buchfelder M, Skoglund T, Johannsson G. Non-functioning pituitary adenomas: indications for pituitary surgery and post-surgical management. Pituitary. 2019 Aug;22(4):422-434. PMID: 31011999; PMCID: PMC6647426. https://doi.org/10.1007/s11102-019-00960-0

Danesh-Meyer HV, Yoon JJ, Lawlor M, Savino PJ. Visual loss and recovery in chiasmal compression. Prog Retin Eye Res. 2019 Nov;73:100765. Epub 2019 Jun 14. PMID: 31202890. https://doi.org/10.1016/j.preteyeres.2019.06.001

Seddon HJ. A Classification of Nerve Injuries. Br Med J. 1942 Aug 29;2(4260):237-9. PMID: 20784403; PMCID: PMC2164137. https://doi.org/10.1136/bmj.2.4260.237

Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain. 1951 Dec;74(4):491-516. PMID: 14895767. https://doi.org/10.1093/brain/74.4.491

Downloads

Published

2024-08-26

How to Cite

1.
Iegorova KS, Malysheva TA, Guk MO, Chernenko OG, Shmeleva GA, Musulevska VV, Pastukhova VA. Morphological optic nerve changes in a patient who has not undergone surgery for her giant pituitary adenoma: a case report. J.ophthalmol. (Ukraine) [Internet]. 2024 Aug. 26 [cited 2024 Nov. 15];(4):71-6. Available from: https://ua.ozhurnal.com/index.php/files/article/view/169

Issue

No. 4 (2024): Journal of Ophthalmology (Ukraine)

Section

Case Reports

License

Copyright (c) 2024 Iegorova K. S., Malysheva T. A., Guk M. O., Chernenko O. G., Shmeleva G. A., Musulevska V. V, Pastukhova V. A.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This work is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) that allows users to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author as long as they cite the source.

COPYRIGHT NOTICE

Authors who publish in this journal agree to the following terms:

  1. Authors hold copyright immediately after publication of their works and retain publishing rights without any restrictions.
  2. The copyright commencement date complies the publication date of the issue, where the article is included in.

DEPOSIT POLICY

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) during the editorial process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work with an acknowledgement of its initial publication in this journal.
  3. Post-print (post-refereeing manuscript version) and publisher's PDF-version self-archiving is allowed.
  4. Archiving the pre-print (pre-refereeing manuscript version) not allowed.