Pituitary hyperplasia

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Headache and blurring of vision. Normal hormonal profile.

Patient Data

Age: 15 years
Gender: Female

Sella

mri

The pituitary gland is bulky showing convex upper border measuring 11mm in max height. It shows homogeneous post contrast enhancement. No pituitary adenomas.

Case Discussion

Pituitary hyperplasia refers to the diffuse pituitary enlargement that can be physiological in young menstruating females or pregnant/lactating women or, less commonly, secondary to end-organ failure.

In pituitary hyperplasia the gland appears bulky with convex upper margin with a height exceeding 10mm.

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