Pituitary apoplexy in association with lymphocytic hypophysitis.
Pituitary apoplexy has been recognised much more frequently since the introduction of CT and MRI scanning. Lymphocytic hypophysitis has been increasingly diagnosed in recent years. A case of pituitary apoplexy occurring in a patient with lymphocytic hypophysitis as part of a polyglandular syndrome is reported. This combination does not appear to have been previously reported. The pituitary haemorrhage was confirmed on MRI and at surgery. Lymphocytic hypophysitis was confirmed histologically. The apoplexy was accompanied by severe headache, elevation of the optic chiasm, developing field loss and onset of ptosis. The apoplexy was precipitated by neck extension.
Dan
Noel G
NG
Department of Neurosurgery, Concord Hospital, University of Sydney, Sydney CT and MR, Australia.
Feiner
Ronald I D
RI
Houang
Michael T W
MT
Turner
Jennifer J
JJ
D000328:Adult; D002543:Cerebral Hemorrhage / Q000209:etiology / Q000473:pathology; D020790:Diabetes Insipidus, Neurogenic / Q000209:etiology / Q000628:therapy; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology / Q000628:therapy; D007249:Inflammation / Q000473:pathology; D008214:Lymphocytes / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures; D010899:Pituitary Apoplexy / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D010904:Pituitary Gland, Posterior / Q000473:pathology*