Symptomatic pituitary tumor enlargement after induced pregnancy. Case report

P. B. Nelson, A. G. Robinson, D. F. Archer, J. C. Maroon

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

A case is presented and 11 others are reviewed in which symptomatic pituitary tumor enlargement occurred during pregnancies that resulted from induced ovulation. The syndrome is usually characterized by headache and visual disturbances with bitemporal visual field abnormalities, but may present with ocular muscle palsies. The cases are divided into two groups. The patients in one group had a shorter duration of amenorrhea (3.8 years), developed symptoms before the 14th week of pregnancy, and were usually treated by tumor removal. Patients in the second group had a longer period of amenorrhea (10.2 years), developed symptoms after the 24th week of pregnancy, and their symptoms regressed with delivery of the infant. Tumor removal or termination of the pregnancy both resulted in resolution of symptoms. All pregnancies resulted in normal infants. This series provides guidelines for management of future cases.

Original languageEnglish (US)
Pages (from-to)283-287
Number of pages5
JournalJournal of neurosurgery
Volume49
Issue number2
DOIs
StatePublished - Jan 1 1978

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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