Intrachiasmatic abscess caused by IgG4-related hypophysitis

被引:11
作者
Hadjigeorgiou, Georgios F. [1 ]
Lund, Eva Lobner [2 ]
Poulsgaard, Lars [3 ]
Feldt-Rasmussen, Ulla [4 ]
Rasmussen, Ase Krogh [4 ]
Wegener, Marianne [5 ]
Fugleholm, Kare [3 ]
机构
[1] Tech Univ Munich, Acad Hosp Munich Bogenhausen, Dept Neurosurg, Munich, Germany
[2] Univ Hosp Copenhagen, Dept Pathol, Copenhagen, Denmark
[3] Univ Hosp Copenhagen, Dept Neurosurg, Copenhagen, Denmark
[4] Univ Hosp Copenhagen, Dept Endocrinol, Copenhagen, Denmark
[5] Univ Hosp Copenhagen, Dept Neuroopthalmol, Copenhagen, Denmark
关键词
Abscess; Hypophysitis; IgG4; Intrachiasmatic; LYMPHOCYTIC HYPOPHYSITIS; AUTOIMMUNE HYPOPHYSITIS;
D O I
10.1007/s00701-017-3288-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:2229 / 2233
页数:5
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