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Features due to local effects

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Where hypopituitarism has a neoplastic or infiltrative aetiology the following clinical features may be present:

  • headache
  • visual field defects:
    • most commonly a superior bi-temporal quadrantanopia
    • progressing to a bitemporal hemianopia
  • cerebrospinal fluid rhinorrhoea due to inferior extension of the tumour
  • III, IV and VI nerve palsies due to lateral extension of the tumour

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