Optic Chiasmatic Hypothalamic Glioma Presented as with Panhypopituitarism with Bilateral Primary Optic Atrophy

Authors

  • ASM Al Amin Resident, Phase-A (MD), Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dahaka- 1000, Bangladesh
  • Shanta Afrin Resident, Phase-A (MD), Department of Critical Care Medicine, Dhaka Medical College, Dahka-1000, Bangladesh
  • Sunil Kumar Biswas Professor, Department of Internal Medicie, BSMMU, Shahbag, Dahaka-1000, Bangladesh
  • Wahida Rahman Junior Consultant, Department of Obstetrics and Gynaecology, 300 bed Hospital, Khanpur, Narayangonj, Dhaka, Bangladesh
  • Md Nazmul Hasan Assistant Professor, Departemnt of Internal Medicine, BSMMU, Shahbag, Dahaka-1000, Bangladesh

DOI:

https://doi.org/10.3329/bmj.v49i3.56081

Keywords:

Optic chiasmaticglioma,hypothalamicglioma, panhypopituitarism, partial cranial diabetes insipidus

Abstract

Optic chiasmatic hypothalamic gliomas are among common primary neoplasm of the optic nerve. It presents with decreased vision as well as features of hypopituitarism due to infiltration of the hypothalamus. In this case report, a young man presented with loss of libido, increased thirst, gradual loss of vision, bilateral optic atrophy and visual field defect. The MRI of sellar and paraseller region showed optic chiasmaticglioma with hypothalamic extension and biochemical parameter showed panhypopituitarism.  We diagnosed this patient as a case of Optic chiasmatic hypothalamic gliomas (OCHGS) with panhypopituitarism with partial cranial diabetes insipidus with bilateral primary optic atrophy.The patient underwent surgery after adequate hormonal treatment but died due to post-operative complications

Bangladesh Med J. 2020 Sept; 49(3) : 49-52

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Published

2021-08-09

How to Cite

Amin, A. A. ., Afrin, S. ., Biswas, S. K. ., Rahman, W. ., & Hasan, M. N. . (2021). Optic Chiasmatic Hypothalamic Glioma Presented as with Panhypopituitarism with Bilateral Primary Optic Atrophy. Bangladesh Medical Journal, 49(3), 49–52. https://doi.org/10.3329/bmj.v49i3.56081

Issue

Section

Case Reports