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Neurology (Expert Forum)
Can a micro-adenoma (as opposed to a macro-adenoma) cause double vision?
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Can a micro-adenoma (as opposed to a macro-adenoma) cause double vision?
by mirileh, Oct 03, 2003 12:00AM
I have been suffering during the past year from horizontal double vision when I look down and to the sides. My vision field is normal.
This summer I noticed that my breasts were producing milk (I am neither pregnant nor after birth) and my prolactin levels were found to be high. No other problems were found - my other hormone levels are normal and get my period regularly. In an MRI scan nothing more than a suspicion for a micro-adenoma was found and this brought my doctor to the conclusion that there is no connection between the double vision problem and hyperprolactinemia (which is most likely a micro-adenoma).
I my doctor's assumption correct? Do only the larger tumors (macro-adenomas) cause double vision? Because of the timing - I have a feeling both problems are related. Am I wrong?
Thank you.
This summer I noticed that my breasts were producing milk (I am neither pregnant nor after birth) and my prolactin levels were found to be high. No other problems were found - my other hormone levels are normal and get my period regularly. In an MRI scan nothing more than a suspicion for a micro-adenoma was found and this brought my doctor to the conclusion that there is no connection between the double vision problem and hyperprolactinemia (which is most likely a micro-adenoma).
I my doctor's assumption correct? Do only the larger tumors (macro-adenomas) cause double vision? Because of the timing - I have a feeling both problems are related. Am I wrong?
Thank you.
Doctor's Answer
by CCF-Neuro-M.D.-CS, Oct 03, 2003 12:00AM
Your doctor is correct. If the scan simply shows a micro-adenoma with no compression on the brainstem then the two disorders are most likely unrelated. I can not find any information or cases in the literature describing your situation. Therefore I would investigate the vision problem further. Based on your description I can not tell if the nerves controlling your eye movements are only affected on one side or both. You could make sure that your neurolgoist reviewed the actual MRI films to ensure the reading is correct. Some disorders which can cause eye movement problems include thyroid disease, inflammatory disorders, muscle disorders, and problems directly affecting the nerves which control eye movement.
You should discuss this with your neurolgist, and if not satisfied obtain a second opinion. Good luck.
You should discuss this with your neurolgist, and if not satisfied obtain a second opinion. Good luck.
Member Comments (2)
by nurse12hr, Oct 04, 2003 12:00AM
Absolutely be sure the neurologist SAW the ACTUAL MRI, not just the report. My report said I just had some minor disc bulging as read by the hospital radiologist, but the neurologists saw a frank disc rupture upon reviewing the MRI itself. The neuro said the radiologists are good, but not experts in the field.