Probable Lymphocytic Hypophysitis Diagnosed by Short-term Serial Computed Tomography and Gallium-67 Scintigraphy: —Case Report—

Neurologia medico-chirurgica

Volumn 39, Issue 2, 1999, Pages 174-178

  Murakami, Hideki ^a   Hirose, Yuichi ^a   Sagoh, Masachika ^a   Hayashi, Takuro ^a  

^a ASHIKAGA RED CROSS HOSPITAL   (Japan)

Author keywords

gallium 67 scintigraphy; inflammation; lymphocytic hypophysitis; repeat computed tomography; spontaneous regression

Indexed keywords

GALLIUM 67;

ADULT; ARTICLE; BRAIN SCINTISCANNING; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; DECOMPRESSION SURGERY; DIPLOPIA; DISEASE COURSE; FEMALE; HEADACHE; HORMONE BLOOD LEVEL; HUMAN; HYPOPHYSITIS; INFLAMMATORY DISEASE; LYMPHOCYTIC INFILTRATION; MALAISE; OPHTHALMOPLEGIA; REMISSION;

EID: 0032914051     PISSN: 04708105     EISSN: 13498029     Source Type: Journal    
DOI: 10.2176/nmc.39.174     Document Type: Article

References (23)

1. Abe T, Iwata T, Shimazu M, Kunii N, Izumiyama H, Matumoto K: [A case of a neurohypophyseal germinoma misdiagnosed as a pituitary adenoma: usefulness of a gallium-67 citrate scintigram for diagnosis]. No Shinkei Geka Journal 3: 254-258, 1994 (Jpn, with Eng abstract).
2. Ahmadi J, Meyers GS, Segall HD, Sharma OP, Hinton DR: Lymphocytic adenohypophysitis: contrast-enhanced MR imaging in five cases. Radiology 195: 30-34, 1995.
3. Aida T, Abe H, Mabuchi S, Nakagawa K, Akikawa K: [Spontaneous regression of a pituitary mass after delivery. Case report]. Neurol Med Chir (Tokyo) 24: 789-793, 1984 (Jpn, with Eng abstract).
4. Beressi N, Cohen R, Beressi JP, Dumas JL, Legrand M, Iba Zizen MT, Modigliani E: Pseudotumoral lymphocytic hypophysitis successfully treated by corticosteroid alone: first case report. Neurosurgery 35: 505-508, 1994.
5. Castle D, de Villiers JC, Melvill R: Lymphocytic adenohypophysitis. Report of a case with demonstration of spontaneous tumour regression and a review of the literature. Br J Neurosurg 2: 401-405, 1988.
6. Guay AT, Agnello V, Tronic BC, Gresham DG, Freidberg SR: Lymphocytic hypophysitis in a man. J Clin Endocrinol Metab 64: 631-634, 1987.
7. Honegger J, Fahlbusch R, Bornemann A, Hensen J, Buchfelder M, Muller M, Nomikos P: Lymphocytic and granulomatous hypophysitis: experience with nine cases. Neurosurgery 40: 713-722, 1997.
8. Ikeda H, Okudaira Y: Spontaneous regression of pituitary mass in temporal association with pregnancy. Neuroradiology 29: 488-492, 1987.
9. Ito K, Mukawa J, Miyagi K, Takara E, Mekaru S, Ishikawa Y, Higa Y: Lymphocytic adenohypophysitis with sudden onset of diabetes insipidus in menopausal female. Case report. Neurol Med Chir (Tokyo) 32: 346-350, 1992.
10. Jones AE, Koslow M, Johnston GS, Ommaya AK: 67 Ga-citrate scintigraphy of brain tumors. Radiology 105: 693-697, 1972.
11. Leiba S, Schindel B, Weinstein R, Lidor I, Friedman S, Matz S: Spontaneous postpartum regression of pituitary mass with return of function. JAMA 255: 230-232, 1986.
12. Magyar DM, Marshall JR: Pituitary tumors and pregnancy. Am J Obstet Gynecol 132: 739-751, 1978.
13. Mikami T, Uozumi T, Yamanaka M, Sakoda K, Kanazawa J, Kagawa Y, Kajima T: [Lymphocytic adenohypophysitis: MRI findings of a suspected case]. No Shinkei Geka 17: 871-876, 1989 (Jpn, with Eng abstract).
14. Nishioka H, Ito H, Fukushima C: Recurrent lymphocytic hypophysitis: case report. Neurosurgery 41: 684-686, 1997.
15. Nishioka H, Ito H, Miki T, Akada K: A case of lymphocytic hypophysitis with massive fibrosis and the role of surgical intervention. Surg Neurol 42: 74-78, 1994.
16. Ober KP, Elster A: Spontaneously resolving lymphocytic hypophysitis as a cause of postpartum diabetes insipidus. The Endocrinologist 4: 107-111, 1994.
17. Pressman EK, Zeidman SM, Reddy UM, Epstein JI, Brem H: Differentiating lymphocytic adenohypophysitis from pituitary adenoma in the peripartum patient. J Reprod Med 40: 251-259, 1995.
18. Sautner D, Saeger W, Ludecke DK, Jansen V, Puchner MJ: Hypophysitis in surgical and autoptical specimens. Acta Neuropathol (Berl) 90: 637-644, 1995.
19. Scanarini M, Avella D, Rotilio A, Kitromilis N, Mingrino S: Giant-cell granulomatous hypophysitis: a distinct clinicopathological entity. J Neurosurg 71: 681-686, 1989.
20. Scholz M, Firsching R, Feiden W, Breining H, Brechtelsbauer D, Harders A: Gagel's granuloma (localized Langerhans cell histiocytosis) in the pituitary stalk. Clin Neurol Neurosurg 97: 164-166, 1995.
21. Teates CD, Hunter JG Jr: Gallium scanning as a screening test for inflammatory lesions. Radiology 116: 383-387, 1975.
22. Vanneste JA, Kamphorst W: Lymphocytic hypophysitis. Surg Neurol 28: 145-149, 1987.
23. Zeller JR, Cerletty JM, Rabinovitch RA, Daniels D: Spontaneous regression of a postpartum pituitary mass demonstrated by computed tomography. Arch Intern Med 142: 373-374, 1982.