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Transient Bitemporal Hemianopsia During Pregnancy After Treatment of Galactorrhea-Amenorrhea Syndrome with Bromocriptine

Department of Medicine III and of Clinical Endocrinology, University Hospital "Dijkzigt" Erasmus University Rotterdam, and Department of Biology, The Netherlands Cancer Institute, Amsterdam The Netherlands

Requests for Reprints should be addressed to J. C. B., Department of Medicine III, University Hospital "Dijkzigt", Rotterdam, The Netherlands.

A patient is described with a galactorrhea-amenorrhea syndrome and an enlargement of the sella turcica. Pregnancy occurred after induction of ovulation with bromocriptine (and 2.5 years after pituitary irradiation). Periodic assessment of the visual fields showed an increase in size of the blind spots after 10 weeks and a moderate bitemporal hemianopsia after 22 weeks, which improved spontaneously after 30 weeks of pregnancy. One month after delivery the visual field of the left eye was almost normalized, while that of the right eye showed a definite improvement. Prior radiotherapy need not prevent visual complications from enlargement of pituitary adenomas during pregnancy.

Received March 31, 1976.

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