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Idiopathic granulomatous hypophysitis: clinical and imaging features
Authors:M. Vasile  K. Marsot-Dupuch  M. Kujas  L. Brunereau  P. Bouchard  J. Comoy  J. M. Tubiana
Affiliation:(1) Service de Radiologie, Hôpital Saint-Antoine, 184 Rue du Faubourg Saint-Antoine, F-75012 Paris, France;(2) Service d"rsquo"Histologie Embryologie Cytogénétique, Hôptial Pitié-Salpétrière, 47/83 Bd del"rsquo"Hôpital, F-75013 Paris, France;(3) Service d"rsquo"Endocrinologie, Hôpital Saint-Antoine, 184 Rue du Faubourg Saint-Antoine, F-75012 Paris, France;(4) Service de Neurochirurgie, Hôpital Kremlin Bicêtre, 78 Rue de Général Leclerc, F-94270 Kremlin-Bicêtre, France
Abstract:
Idiopathic pituitary granuloma is a rare disorder similar to lymphocytic adenohypophysitis. Few cases have been reported. We report a new histologically case proven with MRI. The patterns of clinical and radiological presentation and the management of this disorder are discussed. MRI findings suggestive of this condition include an intensely enhancing pituitary mass, associated with dural enhancement. Steroid therapy may be suggested avoiding unnecessary surgery.
Keywords:Granuloma  Pituitary  Computed tomography  Magnetic resonance imaging
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