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Hipofisitis postparto pseudoadenomatosa que simula un macroadenoma pituitario: un informe de caso y una revisión de
Elkorno Mohammed1, Oudrhiri Mohammed Yassaad1, Elkorno Hajar1
1Department of Neurosurgery, Specialty Hospital, CHU Ibn Sina, Mohammed V University, Rabat, Morocco.
Asian journal of neurosurgery
|August 25, 2025
Resumen
La hipofisitis linfocítica posparto, un trastorno inflamatorio raro, presenta desafíos para el diagnóstico. La intervención quirúrgica rápida mejoró la función visual y los resultados de la resonancia magnética en una mujer posparto.
Área de la Ciencia:
- Endocrinología
- Neuro-oftalmología
- Neurocirugía
Sus antecedentes:
- Los trastornos inflamatorios hipotálamo-hipofisarios son raros y representan el 1% de las lesiones pituitarias.
- La hipofisitis linfocítica posparto es una causa poco común pero significativa de estos trastornos.
- El reconocimiento temprano y el manejo multidisciplinario son cruciales para el pronóstico y la mitigación de las complicaciones.
Objetivo del estudio:
- Para presentar un caso de hipofisitis linfocítica después del parto.
- Destacar los desafíos de diagnóstico y la importancia de un enfoque multidisciplinario.
- Para demostrar la eficacia de la intervención quirúrgica y el seguimiento.
Principales métodos:
- Informe de caso de una mujer de 32 años con hipofisitis linfocítica postparto.
- Imagen de resonancia magnética (IRM) utilizada para el diagnóstico.
- Intervención quirúrgica realizada debido al deterioro progresivo de la visión.
Principales resultados:
- El diagnóstico preoperatorio fue desafiante a pesar de la resonancia magnética.
- La intervención quirúrgica condujo a resultados favorables.
- Mejora significativa en la agudeza visual y resultados normalizados de resonancia magnética después de la cirugía.
Conclusiones:
- La hipofisitis linfocítica, especialmente después del parto, requiere un reconocimiento y tratamiento rápidos.
- Un enfoque multidisciplinario es esencial para obtener resultados óptimos para los pacientes.
- La intervención quirúrgica puede tratar eficazmente los déficits visuales y la disfunción pituitaria.
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