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case-presentation_14

  • ID : 18 years girl ,no married, student
  • Cc : increased prolactin level despite medical &surgical treatment
  • PI :early presentation from 1390( 4 years ago ) was blurred vision and headache ( occipital ,tention like, no accompanied with other symptom ex; vomiting or ..)and Amenorrhea ,blurred vision no corrected by glasses ,no other complaint
  • Then at neurology consultation ; only visual field abnormality no other cranial    disorder ,then  MRI obtaining , MRI Shows :large intrasellar mass about 55x50 mm with suprasellar extention probable invasion to cavernous sinuses&sellar erosion with cyctic component ….

After MRI ,request LAB data that show ; severe hyperprolactinemia