Probable Lymphocytic Hypophysitis Diagnosed by Short-term Serial Computed Tomography and Gallium-67 Scintigraphy —Case Report
| Autor: | Hideki Murakami, Takuro Hayashi, Masachika Sagoh, Yuichi Hirose |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
Hypophysitis Pituitary Diseases Gallium Radioisotopes Scintigraphy Lesion Neuroimaging Biopsy Hormone replacement therapy (male-to-female) Paralysis Humans Medicine Lymphocytes Radionuclide Imaging Inflammation Pituitary stalk medicine.diagnostic_test business.industry Middle Aged medicine.disease Female Surgery Neurology (clinical) Radiology medicine.symptom Tomography X-Ray Computed business Nuclear medicine |
| Zdroj: | Neurologia medico-chirurgica. 39:174-178 |
| ISSN: | 1349-8029 0470-8105 |
| Popis: | A 61-year-old female presented with headache, malaise, and left oculomotor nerve paralysis. Computed tomography (CT) demonstrated a diffuse pituitary mass and enlarged pituitary stalk with homogeneous contrast enhancement. Her symptoms gradually resolved without treatment. Gallium-67 scintigraphy showed abnormal uptake in the pituitary lesion. Serial CT every 2 weeks after admission showed homogeneous contrast enhancement and shrinking of the pituitary mass to a normal size 12 weeks after the onset. The final diagnosis was lymphocytic adenohypophysitis without biopsy. Recurrence has not been observed for 8 years after discharge. The patient did not need hormone replacement therapy. Histological examination is not always necessary to diagnose probable lymphocytic adenohypophysitis with the characteristic feature of rapid onset, abnormal gallium-67 uptake in the lesion, and resolution of symptoms in the acute stage with shrinking of the lesion on neuroimaging. |
| Databáze: | OpenAIRE |
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