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Lymphocytic Hypophysitis Mimicking Pituitary Macroadenoma.
Tarun Kumar Ralot1, Jitesh Aggarwal2, Raghavendra Haniadka2
1Assistant Proferssors of Neurology.
Summary
Lymphocytic hypophysitis, an autoimmune pituitary disorder, can present unusually with hemichorea. Surgical removal of the pituitary mass led to symptom improvement but required hormone replacement therapy.
Area of Science:
- Neurology
- Endocrinology
- Immunology
Background:
- Lymphocytic hypophysitis is a rare autoimmune inflammatory condition affecting the pituitary gland and stalk.
- Typical symptoms include hypopituitarism, diabetes insipidus, headaches, and visual disturbances.
Observation:
- A case of lymphocytic hypophysitis presented with hemichorea, an atypical neurological manifestation.
- Neuroimaging revealed a sellar mass consistent with the condition.
Findings:
- Histopathological examination confirmed lymphocytic hypophysitis.
- Surgical excision of the mass resulted in symptom resolution but induced panhypopituitarism.
Implications:
- This case highlights the diverse clinical presentations of lymphocytic hypophysitis.
- Effective management involves surgical intervention and subsequent pituitary hormone replacement therapy.
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