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Titolo:
Lymphocytic adenohypophysitis mimicking a pituitary macroadenoma
Autore:
Alexiadou-Rudolf, C; Hildebrandt, G; Schroder, R; Ernestus, RI;
Indirizzi:
Univ Cologne, Neurochirurg Klin, D-50924 Cologne, Germany Univ Cologne Cologne Germany D-50924 rurg Klin, D-50924 Cologne, Germany Kantonsspital, Dept Neurosurg, CH-9007 St Gallen, Switzerland Kantonsspital St Gallen Switzerland CH-9007 -9007 St Gallen, Switzerland Clin Univ Cologne, Dept Pathol, Cologne, Germany Clin Univ Cologne Cologne Germany ologne, Dept Pathol, Cologne, Germany
Titolo Testata:
NEUROSURGICAL REVIEW
fascicolo: 2, volume: 23, anno: 2000,
pagine: 112 - 116
SICI:
0344-5607(200006)23:2<112:LAMAPM>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIABETES-INSIPIDUS; HYPOPHYSITIS; HYPOPITUITARISM;
Keywords:
lymphocytic adenohypophysitis; pituitary adenoma; pituitary surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Alexiadou-Rudolf, C Univ Cologne, Neurochirurg Klin, Joseph Stelzmann Str 9, D-50924 Cologne, Germany Univ Cologne Joseph Stelzmann Str 9 Cologne Germany D-50924
Citazione:
C. Alexiadou-Rudolf et al., "Lymphocytic adenohypophysitis mimicking a pituitary macroadenoma", NEUROSURG R, 23(2), 2000, pp. 112-116

Abstract

A 24-year-old woman developed headache and rapidly progressive visual disturbances during the last trimester of her first pregnancy. Magnetic resonance tomography (MRI) of the brain documented an intra- and suprasellar mass lesion. For preservation of vision, transsphenoidal microsurgical decompression was performed. Immediately postoperatively, visual acuity improved andhemianopia resolved. Histological examination yielded the diagnosis of primary lymphocytic adenohypophysitis. This is a rare inflammatory pituitary disease. There are no typical clinical, laboratory, or radiological findingsthat allow precise preoperative diagnosis. Even though this autoimmune disorder is principally steroid-responsive, an improvement of visual disturbances under steroid therapy cannot be predicted, Therefore, surgery is justified not only to establish the diagnosis, but also to restore vision by decompression of the optic nerves and the chiasm.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 07:58:25