Work

Beyond the bitemporal: A Rare case of binasal hemianopia in pituitary apoplexy

Year: 2025

Type: article

Abstract: Binasal hemianopia is an exceptionally rare visual field defect, most commonly associated with bilateral ocular or optic nerve pathology. This case report highlights an unusual neuro-ophthalmological presentation of binasal hemianopia as a manifestation of pituitary apoplexy. A 50-year-old female presented with progressive headache, episodes of projectile vomiting, and painless visual loss, predominantly in the left eye. MRI revealed a hemorrhagic sellar-suprasellar mass consistent with pituitary macroadenoma with apoplexy. Visual fields showed evolving binasal hemianopia. This report underscores the need for thorough neurological and ophthalmological evaluation in atypical visual field presentations.

Source: International Journal of Case Reports in Surgery

DOI: 10.22271/27081494.2025.v7.i1e.174

Authors: Rishi R Bhagchandani, Sharvani Pai, Rohini DK, Abhishek Patil, Athira AV

Institutions: Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research

Language: English

Topic: Pituitary Gland Disorders and Treatments

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4410380399