case_images: PMC10483175_01
case_images: Visual field testing using Humphrey's perimetry.
case_images: f1000research-12-155757-g0000.jpg
case_images: PMC10483175_01_f1000research-12-155757-g0000.jpg
case_images: f1
case_images: His initial blood investigations ( Table 1) showed biochemical evidence of hypopituitarism with T4 of 9.5 pmol/L, FSH of 1.9 IU/L, LH of 2.0 IU/L, testosterone of 4.4 nmol/L, 9 am cortisol of 228 nmol/L and prolactin of 370 mU/L with a temporal field defect in the left eye, confirmed by Humphrey's perimetry ( Figure 1).
case_images: Large peripherally enhancing central and supra sellar necrotic mass measuring 33 x 29 x 26 mm.
case_images: f1000research-12-155757-g0001.jpg
case_images: PMC10483175_01_f1000research-12-155757-g0001.jpg
case_images: f2
case_images: Pituitary MRI showed evidence of pituitary macroadenoma with suprasellar extension and optic chiasmal compression ( Figure 2).
case_images: Postoperative follow-up magnetic resonance imaging after 3 months shows near complete resection of the tumour.
case_images: f1000research-12-155757-g0002.jpg
case_images: PMC10483175_01_f1000research-12-155757-g0002.jpg
case_images: f3
case_images: Postoperative follow-up MRI after 3 months showed a near complete resection of the tumour ( Figure 3).