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Intrachiasmatic abscess caused by IgG4-related hypophysitis

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Vis graf over relationer

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.

OriginalsprogEngelsk
TidsskriftActa Neurochirurgica
Vol/bind159
Udgave nummer11
Sider (fra-til)2229-2233
Antal sider5
ISSN0001-6268
DOI
StatusUdgivet - nov. 2017

ID: 52377469