Surgery>>>>>Thyroid, Parathyroid, and Adrenal
Question 28#

In patients who undergo bilateral adrenalectomy in treatment of Cushing disease after failed attempts at resection of an ACTH-secreting pituitary adenoma, the subsequent development of Nelson syndrome is associated with all of the following EXCEPT:

A. Hyperpigmentation
B. Diminished visual fields
C. Loss of hearing
D. Headaches

Correct Answer is C

Comment:

Nelson syndrome describes symptoms due to the progressive enlargement of a persistent ACTH -secreting pituitary fossa tumor. These symptoms include hyperpigmentation, visual field loss, headaches, and extraocular muscle palsies. Interference with the olfactory nerve is not part of the syndrome.