Abstract

A 14-year-old Indian male presented with complaints of growth failure which parents noticed for the last four years & no development of secondary sexual characteristics causing significant parental anxiety. Neurological examination was normal except the child exhibited mirror movements in the upper extremities. MRI (magnetic resonance imaging) of the pituitary & the hypothalamus showed “a pituitary macro-adenoma with supra-sellar extension with chiasmal compression without cavernous sinus involvement”. Our presentation is probably the first case which revealed synkinetic movements in a case of pituitary macroadenoma. At the same time our case calls for a study of the inhibitory association tracts which physiologicallyprevents mirror movements

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