The increasing use of imaging tests has led to the discovery of small “silent” adenomas of 2 to 3 mm in diameter, which occur in 10 to 20% of the general population. Greater diagnostic sensitivity has been achieved using techniques such as computer axis diagnosis. Computed tomography (CT) or magnetic resonance imaging (MRI). The patient underwent a complete neurological examination and an axial computed tomography of the skull with the axial and anterior portions of the fossa turcica. The exam includes measuring visual acuity (VA), testing pupillary reflexes and eye movements. With the objective of describing the case of a 48-year-old patient who presents health changes caused by a pituitary adenoma, this work is presented, with the description of the patient\u27s follow-up and the surgical procedure for its solution
