A 35 year old female with new onset diabetes not controlled by oralhypoglycaemics presented to our endocrinologist . On clinical examination she was found to be having features of Acromegaly. and bitemporal heminopia.
MRI of sella revealed large pitutary macro adenoma with suprasellar extension compressing optic chiasma.. Hormonal profile revealed increased GH levels >100ng/mi and incresed TSH levels . She was put on Eltroxin 50micrograms/ day and optimized and was taken up for tumour decomporession.
PRE OPERATIVE MRI SHOWING SELLAR AND SUPRASELLAR MASS COMPRESSING CHIASMA
POST OPERATIVE SCAN SHOWING ALMOST COMPLETE TUMOUR REMOVAL WITH SMALL TUMOR REMENENT ON RIGHT SIDE