Intrachiasmatic abscess caused by IgG4-related hypophysitis
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Intrachiasmatic abscess caused by IgG4-related hypophysitis. / Hadjigeorgiou, Georgios F; Lund, Eva Løbner; Poulsgaard, Lars; Feldt-Rasmussen, Ulla; Rasmussen, Åse Krogh; Wegener, Marianne; Fugleholm, Kåre.
I: Acta Neurochirurgica, Bind 159, Nr. 11, 11.2017, s. 2229-2233.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Intrachiasmatic abscess caused by IgG4-related hypophysitis
AU - Hadjigeorgiou, Georgios F
AU - Lund, Eva Løbner
AU - Poulsgaard, Lars
AU - Feldt-Rasmussen, Ulla
AU - Rasmussen, Åse Krogh
AU - Wegener, Marianne
AU - Fugleholm, Kåre
PY - 2017/11
Y1 - 2017/11
N2 - 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.
AB - 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.
U2 - 10.1007/s00701-017-3288-8
DO - 10.1007/s00701-017-3288-8
M3 - Journal article
C2 - 28799078
VL - 159
SP - 2229
EP - 2233
JO - Acta Neurochirurgica
JF - Acta Neurochirurgica
SN - 0001-6268
IS - 11
ER -
ID: 194775171