DOI: 10.36347/sjmcr.2022.v10i11.017

Pages: 1131-1135

Pituitary adenoma, also known as pituitary adenoma, is a type of benign tumor of the pituitary gland, which is a gland located in the brain and which is responsible for controlling the production of hormones such as cortisol, prolactin, growth hormone and hormones that stimulate functioning of the ovaries and testes. This type of tumor is rare and, as it is benign, it is not life threatening, however it can cause symptoms that decrease quality of life such as infertility, decreased libido, milk production or neurological and ophthalmological symptoms such as headache or partial loss of vision. This is a 25-year-old student, with a pathological history of amenorrhea-galactorrhea syndrome. After about 5 years with amenorrhea and galactorrhea, she mentioned that she had consulted with general practitioners and gynecologists several times in her country of origin but they were unable to discover the cause for lack of diagnostic means, after 6 months of her arrival in the kingdom of Morocco, presented in our ophthalmology service of HMIMV-Rabat, at the ophthalmological examination, uncorrected visual acuity 2/10 in the right eye and 1/10 in the left eye, visual acuity with correction 4/10 in the right eye and 3/10 in the left eye with visual field loss, Fundus examination of the right and left eye showed pale papilla with pathological cupping. Papillary OCT vertical diameter with pathological cupping at 0.84 in the left eye and limit at 0.61 in the right eye (f-1); visual field revealed amputation in right and left eye and orbitocerebral MRI was favorable to pituitary macroadenoma with diameter of (18x15x15 mm), compresses optic chiasm, complementary exams: Elevated prolactin of: 23 135.00 µUI/ml, thyroid hormone dosage: T3, T4 and TSH are all normal. Finally, we requested consultation with an endocrinologist and a neurosurgeon, and the patient was transferred to the neurosurgery service for a better study and possible surgery.