Lymphocytic hypophysitis with cystic MRI appearance
Lymphocytic hypophysitis (LH) is an infrequent primary inflammatory disorder, which is usually diagnosed after surgery for lesions suspected to be pituitary adenomas. Some radiological features have been described that may allow a preoperative diagnosis, such as a symmetric enlargement of the gland...
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Veröffentlicht in: | Acta neurochirurgica 2005-12, Vol.147 (12), p.1297-1300 |
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creator | Pérez-Núñez, A Miranda, P Arrese, I González, P Ramos, A Lobato, R D |
description | Lymphocytic hypophysitis (LH) is an infrequent primary inflammatory disorder, which is usually diagnosed after surgery for lesions suspected to be pituitary adenomas. Some radiological features have been described that may allow a preoperative diagnosis, such as a symmetric enlargement of the gland with diffuse contrast enhancement extending to the basal hypothalamus in a tongue-like fashion. We describe the case of a patient with LH presenting with the MR imaging of a cystic lesion with ring contrast enhancement. It seems that this appearance in imaging studies is not unusual, and should be considered among the features suggesting this disease in an appropriate clinical context. |
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Some radiological features have been described that may allow a preoperative diagnosis, such as a symmetric enlargement of the gland with diffuse contrast enhancement extending to the basal hypothalamus in a tongue-like fashion. We describe the case of a patient with LH presenting with the MR imaging of a cystic lesion with ring contrast enhancement. It seems that this appearance in imaging studies is not unusual, and should be considered among the features suggesting this disease in an appropriate clinical context.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-005-0641-0</identifier><identifier>PMID: 16237497</identifier><language>eng</language><publisher>Austria: Springer Nature B.V</publisher><subject>Adolescent ; Cysts - diagnosis ; Cysts - etiology ; Cysts - surgery ; Diagnosis, Differential ; Encephalitis - diagnosis ; Encephalitis - surgery ; Humans ; Lymphocytes - pathology ; Magnetic Resonance Imaging ; Male ; Medical diagnosis ; Neurosurgical Procedures ; Pituitary Diseases - diagnosis ; Pituitary Diseases - surgery ; Pituitary gland ; Pituitary Gland - pathology ; Pituitary Gland - physiopathology ; Pituitary Gland - surgery ; Pituitary Neoplasms - diagnosis ; Treatment Outcome</subject><ispartof>Acta neurochirurgica, 2005-12, Vol.147 (12), p.1297-1300</ispartof><rights>Springer-Verlag/Wien 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-e7343565c50160fb6c512e8745b7a7686f6fc20e4a5e8f22508a612331a3cd8c3</citedby><cites>FETCH-LOGICAL-c358t-e7343565c50160fb6c512e8745b7a7686f6fc20e4a5e8f22508a612331a3cd8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27928,27929</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16237497$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pérez-Núñez, A</creatorcontrib><creatorcontrib>Miranda, P</creatorcontrib><creatorcontrib>Arrese, I</creatorcontrib><creatorcontrib>González, P</creatorcontrib><creatorcontrib>Ramos, A</creatorcontrib><creatorcontrib>Lobato, R D</creatorcontrib><title>Lymphocytic hypophysitis with cystic MRI appearance</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><description>Lymphocytic hypophysitis (LH) is an infrequent primary inflammatory disorder, which is usually diagnosed after surgery for lesions suspected to be pituitary adenomas. Some radiological features have been described that may allow a preoperative diagnosis, such as a symmetric enlargement of the gland with diffuse contrast enhancement extending to the basal hypothalamus in a tongue-like fashion. We describe the case of a patient with LH presenting with the MR imaging of a cystic lesion with ring contrast enhancement. It seems that this appearance in imaging studies is not unusual, and should be considered among the features suggesting this disease in an appropriate clinical context.</description><subject>Adolescent</subject><subject>Cysts - diagnosis</subject><subject>Cysts - etiology</subject><subject>Cysts - surgery</subject><subject>Diagnosis, Differential</subject><subject>Encephalitis - diagnosis</subject><subject>Encephalitis - surgery</subject><subject>Humans</subject><subject>Lymphocytes - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Neurosurgical Procedures</subject><subject>Pituitary Diseases - diagnosis</subject><subject>Pituitary Diseases - surgery</subject><subject>Pituitary gland</subject><subject>Pituitary Gland - pathology</subject><subject>Pituitary Gland - physiopathology</subject><subject>Pituitary Gland - surgery</subject><subject>Pituitary Neoplasms - diagnosis</subject><subject>Treatment Outcome</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE1Lw0AQhhdRbK3-AC8SPOgpOvs1uzlK8aNQEUTPy3a7ISlNE7MJkn_vhhYED15mZ5lnXpiHkEsKdxRA3YdYgKYAMgUUsTkiU8gES2OB49hDnCJDPSFnIWzijynBT8mEIuNKZGpK-HKomqJ2Q1e6pBiauimGUHZlSL7LrkjcEMbB6_sisU3jbWt3zp-Tk9xug784vDPy-fT4MX9Jl2_Pi_nDMnVc6i71igsuUToJFCFfoZOUea2EXCmrUGOOuWPghZVe54xJ0BYp45xa7tba8Rm53ec2bf3V-9CZqgzOb7d25-s-GCWFlFIzGsmbf0nUGikHHsHrP-Cm7ttdvGJMyzLMFEaI7iHX1iG0PjdNW1a2HQwFM4o3e_EmijejeANx5-oQ3K8qv_7dOJjmPxXOe5o</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Pérez-Núñez, A</creator><creator>Miranda, P</creator><creator>Arrese, I</creator><creator>González, P</creator><creator>Ramos, A</creator><creator>Lobato, R D</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7T5</scope></search><sort><creationdate>200512</creationdate><title>Lymphocytic hypophysitis with cystic MRI appearance</title><author>Pérez-Núñez, A ; Miranda, P ; Arrese, I ; González, P ; Ramos, A ; Lobato, R D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-e7343565c50160fb6c512e8745b7a7686f6fc20e4a5e8f22508a612331a3cd8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Cysts - diagnosis</topic><topic>Cysts - etiology</topic><topic>Cysts - surgery</topic><topic>Diagnosis, Differential</topic><topic>Encephalitis - diagnosis</topic><topic>Encephalitis - surgery</topic><topic>Humans</topic><topic>Lymphocytes - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Neurosurgical Procedures</topic><topic>Pituitary Diseases - diagnosis</topic><topic>Pituitary Diseases - surgery</topic><topic>Pituitary gland</topic><topic>Pituitary Gland - pathology</topic><topic>Pituitary Gland - physiopathology</topic><topic>Pituitary Gland - surgery</topic><topic>Pituitary Neoplasms - diagnosis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pérez-Núñez, A</creatorcontrib><creatorcontrib>Miranda, P</creatorcontrib><creatorcontrib>Arrese, I</creatorcontrib><creatorcontrib>González, P</creatorcontrib><creatorcontrib>Ramos, A</creatorcontrib><creatorcontrib>Lobato, R D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pérez-Núñez, A</au><au>Miranda, P</au><au>Arrese, I</au><au>González, P</au><au>Ramos, A</au><au>Lobato, R D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lymphocytic hypophysitis with cystic MRI appearance</atitle><jtitle>Acta neurochirurgica</jtitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2005-12</date><risdate>2005</risdate><volume>147</volume><issue>12</issue><spage>1297</spage><epage>1300</epage><pages>1297-1300</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Lymphocytic hypophysitis (LH) is an infrequent primary inflammatory disorder, which is usually diagnosed after surgery for lesions suspected to be pituitary adenomas. Some radiological features have been described that may allow a preoperative diagnosis, such as a symmetric enlargement of the gland with diffuse contrast enhancement extending to the basal hypothalamus in a tongue-like fashion. We describe the case of a patient with LH presenting with the MR imaging of a cystic lesion with ring contrast enhancement. It seems that this appearance in imaging studies is not unusual, and should be considered among the features suggesting this disease in an appropriate clinical context.</abstract><cop>Austria</cop><pub>Springer Nature B.V</pub><pmid>16237497</pmid><doi>10.1007/s00701-005-0641-0</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Cysts - diagnosis Cysts - etiology Cysts - surgery Diagnosis, Differential Encephalitis - diagnosis Encephalitis - surgery Humans Lymphocytes - pathology Magnetic Resonance Imaging Male Medical diagnosis Neurosurgical Procedures Pituitary Diseases - diagnosis Pituitary Diseases - surgery Pituitary gland Pituitary Gland - pathology Pituitary Gland - physiopathology Pituitary Gland - surgery Pituitary Neoplasms - diagnosis Treatment Outcome |
title | Lymphocytic hypophysitis with cystic MRI appearance |
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