A 21-year-old female patient, without previous co-morbidities, presented with progressive decrease in visual acuity in the right eye, ipsilateral ptosis, frontal headache and bilateral galactorrhea on expression in the last seven months before the consultation. At that time, in another institution, a serum prolactin level, which was 74.9 ng/mL [normal range (NR): 5-25], and a sella turcica magnetic resonance imaging (MRI) were requested. The MRI (Figures 1a, and 1b) revealed an expansive solid lesion, isointense in T1- and T2-weighted sequences with gadolinium enhancement measuring 3.5x3.3x4.2 cm, with its epicenter in the sella turcica. It extends superiorly reaching the optic chiasm, laterally mainly to the right cavernous sinus and inferiorly towards the sellar floor, causing erosion of the sellar floor and the adjacent area of the clivus. She was treated with bromocriptine 2.5 mg/day for two months.
展开▼
机译：一名21岁的女性患者，既往无合并症，在咨询前的最后七个月表现出右眼视力，同侧上睑下垂，额头头痛和双侧溢乳的视力逐渐下降。当时，在另一家医院，要求血清催乳素水平为74.9 ng / mL [正常范围（NR）：5-25]，并要求蝶鞍状磁共振成像（MRI）。 MRI（图1a和1b）显示了一个广泛的实体病变，在T1和T2加权序列中等强度，g增强为3.5x3.3x4.2 cm，震中位于蝶鞍状。它向上延伸至视神经chi，主要横向延伸至右海绵窦，并向下延伸至鞍底，从而导致鞍底和邻近的锁骨区域被侵蚀。她每天接受2.5毫克溴隐亭治疗两个月。
展开▼
