ABSTRACT

Workup ideally should involve a multidisciplinary team with evaluation by a neurosurgeon, endocrinologist, neuroophthalmologist, and otolaryngologist. Serum hormone levels for all six of the anterior pituitary hormones should be checked: ACTH, TSH, GH, PRL, follicular-stimulating hormone (FSH), and luteinizing hormone (LH) for women

Figure 10.1 Humphrey visual field testing revealing a bitemporal homonymous hemianopsia. This finding is highly suggestive of compression of the optic chiasm.