PARESE NERVUS OCULOMOTOR AKIBAT MASSA PADA AREA INTRASELLA : CASE REPORT
DOI:
https://doi.org/10.31004/prepotif.v10i1.56801Keywords:
adenoma pituitary, massa intersella, parese nervus oculomotorAbstract
Parese nervus okulomotor (CN III) merupakan gangguan neurologis yang dapat disebabkan oleh berbagai kondisi intrakranial, termasuk lesi pada area sinus kavernosus dan sella turcica. Salah satu penyebabnya adalah massa pada area intrasella, seperti adenoma pituitari. Adenoma pituitari merupakan tumor intrakranial yang relatif sering ditemukan dan dapat menimbulkan gejala akibat efek massa terhadap struktur di sekitarnya, termasuk gangguan saraf kranial dan gangguan lapang pandang. Laporan kasus ini bertujuan untuk menggambarkan manifestasi klinis parese nervus okulomotor yang disebabkan oleh massa pada area intrasella. Seorang laki-laki usia 43 tahun datang dengan keluhan kelopak mata sulit terbuka, gangguan pergerakan bola mata, nyeri kepala, dan kebas pada wajah. Pemeriksaan neurologis menunjukkan adanya ptosis serta penurunan lapang pandang. Hasil MRI kepala non kontras menunjukkan gambaran massa intrasella dengan kemungkinan microadenoma pituitari. Pasien mendapatkan terapi simptomatik dan direncanakan evaluasi hormon serta rujukan ke bedah saraf untuk penatalaksanaan lebih lanjut. Massa pada area intrasella, seperti adenoma pituitari, dapat menimbulkan gejala neurologis berupa parese nervus okulomotor dan gangguan lapang pandang akibat efek penekanan struktur sekitarnya. Identifikasi dini melalui evaluasi klinis dan pemeriksaan penunjang sangat penting untuk menegakkan diagnosis dan menentukan tatalaksana yang tepat.References
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