Bitemporal hemianopia caused by metastatic carcinoma in a patient with Wegener's granulomatosis: an unexpected finding

Br J Neurosurg. 1997 Dec;11(6):579-81. doi: 10.1080/02688699745781.

Abstract

Metastatic lesions in the suprasellar region are extremely rare. The differential diagnosis of a focal lesion at this site is wide ranging and lesions often have a similar radiological appearance. We present a woman with known Wegener's granulomatosis who lost vision while on medical treatment for a presumed granuloma at this site. Exploration revealed a metastatic carcinoma of unknown origin. Attention is drawn to the importance of making a histological diagnosis in cases of suprasellar lesions.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnosis
  • Adenocarcinoma / secondary*
  • Adenocarcinoma / surgery
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / secondary*
  • Brain Neoplasms / surgery
  • Diagnosis, Differential
  • Female
  • Granulomatosis with Polyangiitis / diagnosis*
  • Granulomatosis with Polyangiitis / surgery
  • Hemianopsia / etiology*
  • Hemianopsia / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Middle Aged
  • Neoplasms, Unknown Primary / diagnosis*
  • Neoplasms, Unknown Primary / surgery
  • Pituitary Neoplasms / diagnosis
  • Pituitary Neoplasms / secondary*
  • Pituitary Neoplasms / surgery