A Case of Idiopathic Granulomatous Hypophysitis
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Granulomatous hypophysitis is a rare pituitary condition that commonly presents with enlargement of the pituitary gland. A 31-year-old woman was admitted to the hospital with a severe headache and bitemporal hemianopsia. Magnetic resonance imaging (MRI) showed an 18 × 10-mm sellar mass with suprasellar extension and compression of the optic chiasm. Interestingly, brain MRI had shown no abnormal finding 4 months previously. On hormonal examination, hypopituitarism with mild hyperprolactinemia was noted. The biopsy revealed granulomatous changes with multinucleated giant cells. We herein report this rare case and discuss the relevant literature.
Abstract
Granulomatous hypophysitis is a rare pituitary condition that commonly presents with enlargement of the pituitary gland. A 31-year-old woman was admitted to the hospital with a severe headache and bitemporal hemianopsia. Magnetic resonance imaging (MRI) showed an 18 × 10-mm sellar mass with suprasellar extension and compression of the optic chiasm. Interestingly, brain MRI had shown no abnormal finding 4 months previously. On hormonal examination, hypopituitarism with mild hyperprolactinemia was noted. The biopsy revealed granulomatous changes with multinucleated giant cells. We herein report this rare case and discuss the relevant literature.
참고문헌 (8)
- Cheung CC, "The spectrum and significance of primary hypophysitis", J Clin Endocrinol Metab, 86, pp.1048~1053 (2001)
- Stott V, "Idiopathic granulomatous hypophysitis", N Z Med J, 118, pp.U1355~ (2005)
- Vasile M, "Idiopathic granulomatous hypophysitis: clinical and imaging features", Neuroradiology, 39, pp.7~11 (1997)
- Chang-In Lee, "Idiopathic Granulomatous Hypophysitis", 대한신경외과학회지, 34(4), pp.386~388 (2003), 대한신경외과학회
- Honegger J, "Lymphocytic and granulomatous hypophysitis: experience with nine cases", Neurosurgery, 40, pp.713~722 (1997)
- Caturegli P, "Autoimmune hypophysitis", Endocr Rev, 26, pp.599~614 (2005)
- Mehndiratta MM, "Granulomatous hypophysitis: an interesting and rare cause mimicking pituitary mass", J Assoc Physicians India, 55, pp.653~654 (2007)
- Brisman MH, "Idiopathic granulomatous hypophysitis", Neurosurg Focus, 1, pp.e7~ (1996)
