Lymphocytic hypophysitis: can open exploration of the sella be avoided?
A case of lymphocytic hypophysitis (LYHY) in a menopausal woman is presented. A review of the literature suggests that conservative treatment may be tried in suspected cases of LYHY, if the vision of the patient is not threatened. A transphenoidal stereotactic biopsy of the mass may be performed if the patient fails to improve or deteriorates, thus avoiding open exploration of the sella in selected cases.
Prasad
A
A
Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India.
Madan
V S
VS
Sethi
P K
PK
Prasad
M L
ML
Buxi
T B
TB
Kanwar
C K
CK
D000328:Adult; D001327:Autoimmune Diseases / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology; D007249:Inflammation / Q000473:pathology; D008214:Lymphocytes / Q000473:pathology; D010900:Pituitary Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010903:Pituitary Gland, Anterior / Q000473:pathology; D010911:Pituitary Neoplasms / Q000175:diagnosis; D014057:Tomography, X-Ray Computed