HarveyAguilar

Sellar tumor

A 63-year-old male, with no significant medical history. Two years ago, he started experiencing sharp holocranial headaches lasting 20 minutes, with an average of one episode per week, relieved by rest. Six months ago, he noticed a decrease in peripheral vision and visual acuity.

Physical examination:

• Glasgow Coma Scale score of 15 points
• Pupils: 2-2
• Visual acuity: right eye (OD): 20/200, left eye (OI): 20/400
• Present right photomotor reflex
• Left hippus
• Bilateral consensual response