Pituitary Adenoma Revealed by Paracentral Junctional Scotoma of Traquair
作者:
Daniel S. Mojon,
Jeffrey G. Odel,
Rodolfo J. Rios,
Michio Hirano,
期刊:
Ophthalmologica
(Karger Available online 1997)
卷期:
Volume 211,
issue 2
页码: 104-108
ISSN:0030-3755
年代: 1997
DOI:10.1159/000310771
出版商: S. Karger AG
关键词: Pituitary adenoma;Optic chiasm;Visual field defects
数据来源: Karger
摘要:
The term junctional scotoma of Traquair is used to describe a unilateral temporal visual field defect due to pathology of the ipsilateral optic nerve where it joins the chiasm. We report a 26-year-old woman who presented with blurred vision of her left eye. Examination revealed visual acuity of 20/20 OU, AO-HRR color plates 6/6 OD and 4.5/6 OS, and a 0.3 log unit relative afferent pupillary defect on the left side. Computer and Goldmann perimetry revealed a normal visual field OD and a paracentral temporal scotoma OS. Magnetic resonance imaging scan disclosed a sellar mass, expanding mainly into the left suprasellar area. Laboratory findings and pathological studies were consistent with a prolactin-secreting pituitary adenoma. While involvement of the temporal visual field in only one eye (junctional scotoma of Traquair) is found in about 10% of patients with pituitary adenoma, involvement of only the paracentral temporal visual field in one eye is rare (1–2%). Recognition of this rare syndrome is important because careful visual field analysis discloses a vertical step and helps to avoid misdiagnosing optic neuritis.
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