Intrachiasmatic abscess caused by IgG4-related hypophysitis
Introduction Autoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However, intrachiasmatic abscess formation has not been previously reported. Methods In this study, we report a case of a 29-year-old female with bite...
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| Vydáno v: | Acta neurochirurgica Ročník 159; číslo 11; s. 2229 - 2233 |
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| Hlavní autoři: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Vienna
Springer Vienna
01.11.2017
Springer Nature B.V |
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| ISSN: | 0001-6268, 0942-0940, 0942-0940 |
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| Abstract | Introduction
Autoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However, intrachiasmatic abscess formation has not been previously reported.
Methods
In this study, we report a case of a 29-year-old female with bitemporal hemianopia due to a cystic intrasellar tumor. The patient underwent surgical decompression of the lesion, which was found to be an intrachiasmatic abscess.
Results
The histologic findings were consistent with IgG4 hypophysitis.
Conclusion
This rare clinical presentation suggests that in case of a disproportionate degree of visual impairment in relation to the size of the lesion, suspicion should lead to an intrachiasmatic lesion. |
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| AbstractList | Autoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However, intrachiasmatic abscess formation has not been previously reported.
In this study, we report a case of a 29-year-old female with bitemporal hemianopia due to a cystic intrasellar tumor. The patient underwent surgical decompression of the lesion, which was found to be an intrachiasmatic abscess.
The histologic findings were consistent with IgG4 hypophysitis.
This rare clinical presentation suggests that in case of a disproportionate degree of visual impairment in relation to the size of the lesion, suspicion should lead to an intrachiasmatic lesion. Autoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However, intrachiasmatic abscess formation has not been previously reported.INTRODUCTIONAutoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However, intrachiasmatic abscess formation has not been previously reported.In this study, we report a case of a 29-year-old female with bitemporal hemianopia due to a cystic intrasellar tumor. The patient underwent surgical decompression of the lesion, which was found to be an intrachiasmatic abscess.METHODSIn this study, we report a case of a 29-year-old female with bitemporal hemianopia due to a cystic intrasellar tumor. The patient underwent surgical decompression of the lesion, which was found to be an intrachiasmatic abscess.The histologic findings were consistent with IgG4 hypophysitis.RESULTSThe histologic findings were consistent with IgG4 hypophysitis.This rare clinical presentation suggests that in case of a disproportionate degree of visual impairment in relation to the size of the lesion, suspicion should lead to an intrachiasmatic lesion.CONCLUSIONThis rare clinical presentation suggests that in case of a disproportionate degree of visual impairment in relation to the size of the lesion, suspicion should lead to an intrachiasmatic lesion. Autoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However, intrachiasmatic abscess formation has not been previously reported. In this study, we report a case of a 29-year-old female with bitemporal hemianopia due to a cystic intrasellar tumor. The patient underwent surgical decompression of the lesion, which was found to be an intrachiasmatic abscess. The histologic findings were consistent with IgG4 hypophysitis. This rare clinical presentation suggests that in case of a disproportionate degree of visual impairment in relation to the size of the lesion, suspicion should lead to an intrachiasmatic lesion. Introduction Autoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However, intrachiasmatic abscess formation has not been previously reported. Methods In this study, we report a case of a 29-year-old female with bitemporal hemianopia due to a cystic intrasellar tumor. The patient underwent surgical decompression of the lesion, which was found to be an intrachiasmatic abscess. Results The histologic findings were consistent with IgG4 hypophysitis. Conclusion This rare clinical presentation suggests that in case of a disproportionate degree of visual impairment in relation to the size of the lesion, suspicion should lead to an intrachiasmatic lesion. |
| Author | Poulsgaard, Lars Feldt-Rasmussen, Ulla Hadjigeorgiou, Georgios F. Lund, Eva Løbner Fugleholm, Kåre Rasmussen, Åse Krogh Wegener, Marianne |
| Author_xml | – sequence: 1 givenname: Georgios F. surname: Hadjigeorgiou fullname: Hadjigeorgiou, Georgios F. email: georgehadji@gmail.com organization: Department of Neurosurgery, Academic Hospital Munich-Bogenhausen, Technical University of Munich – sequence: 2 givenname: Eva Løbner surname: Lund fullname: Lund, Eva Løbner organization: Department of Pathology, University Hospital of Copenhagen – sequence: 3 givenname: Lars surname: Poulsgaard fullname: Poulsgaard, Lars organization: Department of Neurosurgery, University Hospital of Copenhagen – sequence: 4 givenname: Ulla surname: Feldt-Rasmussen fullname: Feldt-Rasmussen, Ulla organization: Department of Endocrinology, University Hospital of Copenhagen – sequence: 5 givenname: Åse Krogh surname: Rasmussen fullname: Rasmussen, Åse Krogh organization: Department of Endocrinology, University Hospital of Copenhagen – sequence: 6 givenname: Marianne surname: Wegener fullname: Wegener, Marianne organization: Department of Neuro-opthalmology, University Hospital of Copenhagen – sequence: 7 givenname: Kåre surname: Fugleholm fullname: Fugleholm, Kåre organization: Department of Neurosurgery, University Hospital of Copenhagen |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28799078$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s00701_018_3530_z crossref_primary_10_1016_j_wneu_2021_03_054 crossref_primary_10_1097_ICU_0000000000000523 crossref_primary_10_1016_j_autrev_2019_102363 crossref_primary_10_1007_s00428_019_02564_2 crossref_primary_10_1016_j_wneu_2018_06_174 crossref_primary_10_1016_j_lpm_2020_104016 crossref_primary_10_1186_s13256_021_03018_7 crossref_primary_10_1007_s42399_022_01250_w crossref_primary_10_1007_s12020_021_02714_0 crossref_primary_10_1155_2019_5382640 crossref_primary_10_1186_s13023_023_02788_1 |
| Cites_doi | 10.3803/EnM.2014.29.4.470 10.1055/s-0034-1397333 10.1038/nrendo.2010.46 10.1210/er.2004-0011 10.1530/EJE-13-0642 10.1210/jc.2010-2970 10.1016/j.ecl.2014.10.011 10.7326/0003-4819-141-11-200412070-00033 10.1186/s12902-015-0062-x 10.1507/endocrj.K10E-334 |
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| References_xml | – volume: 29 start-page: 470 issue: 4 year: 2014 end-page: 478 ident: CR9 article-title: Clinical characteristics, management, and outcome of 22 cases of primary hypophysitis publication-title: Endocrinol Metab (Seoul) doi: 10.3803/EnM.2014.29.4.470 – volume: 8 start-page: 23 year: 2015 end-page: 25 ident: CR5 article-title: A case of IgG4-related hypophysitis presented with hypopituitarism and diabetes insipidus publication-title: Clinical Medicine Insights: Case Reports – volume: 19 start-page: 273 year: 2015 end-page: 276 ident: CR1 article-title: Thickened pituitary stalk associated with a mass in the sphenoidal sinus: an alarm to suspect Hypophysitis by immunoglobulin G4? publication-title: Int Arch Otorhinolaryngol doi: 10.1055/s-0034-1397333 – volume: 6 start-page: 311 issue: 6 year: 2010 end-page: 318 ident: CR11 article-title: Immunity, thyroid function and pregnancy: molecular mechanisms publication-title: Nat Rev Endocrinol doi: 10.1038/nrendo.2010.46 – volume: 26 start-page: 599 year: 2005 end-page: 614 ident: CR3 article-title: Autoimmune hypophysitis publication-title: Endocr Rev doi: 10.1210/er.2004-0011 – volume: 80 start-page: 2302 year: 1995 end-page: 2311 ident: CR8 article-title: Clinical case seminar: lymphocytic hypophysitis: clinicopathological findings publication-title: J Clin Endocrinol Metab – volume: 170 start-page: 161 year: 2014 end-page: 172 ident: CR2 article-title: The prevalence of IgG4-related hypophysitis in 170 consecutive patients with hypopituitaruism and/or central diabetes insipidus and review of the literature publication-title: Europ J Endocrinol doi: 10.1530/EJE-13-0642 – volume: 96 start-page: 1971 year: 2011 end-page: 1980 ident: CR6 article-title: IgG4-related hypophysitis: a new addition to the hypophysitis spectrum publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2010-2970 – volume: 44 start-page: 143 issue: 1 year: 2015 end-page: 149 ident: CR4 article-title: Hypophisitis publication-title: Endocrinol Metab Clin N Am doi: 10.1016/j.ecl.2014.10.011 – volume: 141 start-page: 896 year: 2004 end-page: 897 ident: CR10 article-title: Multiple pseudotumors in IgG4-associated multifocal systemic fibrosis publication-title: Am Int Med doi: 10.7326/0003-4819-141-11-200412070-00033 – volume: 15 start-page: 64 year: 2015 ident: CR7 article-title: Clinical course of IgG4-related hypophysitis presenting with focal seizure and relapsing lymphocytic hypophysitis publication-title: BMC Endocr Disord doi: 10.1186/s12902-015-0062-x – volume: 58 start-page: 675 issue: 8 year: 2011 end-page: 683 ident: CR12 article-title: Recurrent autoimmune hypophysitis successfully treated with glucocorticoids plus azathioprine: a report of three cases publication-title: Endocr J doi: 10.1507/endocrj.K10E-334 – volume: 58 start-page: 675 issue: 8 year: 2011 ident: 3288_CR12 publication-title: Endocr J doi: 10.1507/endocrj.K10E-334 – volume: 170 start-page: 161 year: 2014 ident: 3288_CR2 publication-title: Europ J Endocrinol doi: 10.1530/EJE-13-0642 – volume: 141 start-page: 896 year: 2004 ident: 3288_CR10 publication-title: Am Int Med doi: 10.7326/0003-4819-141-11-200412070-00033 – volume: 19 start-page: 273 year: 2015 ident: 3288_CR1 publication-title: Int Arch Otorhinolaryngol doi: 10.1055/s-0034-1397333 – volume: 15 start-page: 64 year: 2015 ident: 3288_CR7 publication-title: BMC Endocr Disord doi: 10.1186/s12902-015-0062-x – volume: 6 start-page: 311 issue: 6 year: 2010 ident: 3288_CR11 publication-title: Nat Rev Endocrinol doi: 10.1038/nrendo.2010.46 – volume: 44 start-page: 143 issue: 1 year: 2015 ident: 3288_CR4 publication-title: Endocrinol Metab Clin N Am doi: 10.1016/j.ecl.2014.10.011 – volume: 29 start-page: 470 issue: 4 year: 2014 ident: 3288_CR9 publication-title: Endocrinol Metab (Seoul) doi: 10.3803/EnM.2014.29.4.470 – volume: 26 start-page: 599 year: 2005 ident: 3288_CR3 publication-title: Endocr Rev doi: 10.1210/er.2004-0011 – volume: 8 start-page: 23 year: 2015 ident: 3288_CR5 publication-title: Clinical Medicine Insights: Case Reports – volume: 80 start-page: 2302 year: 1995 ident: 3288_CR8 publication-title: J Clin Endocrinol Metab – volume: 96 start-page: 1971 year: 2011 ident: 3288_CR6 publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2010-2970 |
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| Snippet | Introduction
Autoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However,... Autoimmune hypophysitis is a rare disease of the pituitary, which may affect vision by inflammation and compression of the optic chiasm. However,... |
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| SubjectTerms | Adult Autoimmune Hypophysitis - complications Autoimmune Hypophysitis - diagnostic imaging Autoimmune Hypophysitis - pathology Autoimmune Hypophysitis - surgery Brain Abscess - complications Brain Abscess - diagnostic imaging Brain Abscess - pathology Brain Abscess - surgery Case Report - Brain Tumors Case reports Compression Decompression Decompression, Surgical Female Hemianopsia - etiology Humans Immunoglobulin G Interventional Radiology Magnetic Resonance Imaging Medicine Medicine & Public Health Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Neurosurgical Procedures Optic chiasm Optic Chiasm - diagnostic imaging Optic Chiasm - surgery Pituitary Rare diseases Surgical Orthopedics Vision |
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| Title | Intrachiasmatic abscess caused by IgG4-related hypophysitis |
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