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
Hauptverfasser: Pérez-Núñez, A, Miranda, P, Arrese, I, González, P, Ramos, A, Lobato, R D
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container_issue 12
container_start_page 1297
container_title Acta neurochirurgica
container_volume 147
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.
doi_str_mv 10.1007/s00701-005-0641-0
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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. 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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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