Lymphocytic hypophysitis with impaired visual acuity in a woman in the late stage of pregnancy Kimiko Takahashi 1 , Yoshimasa Usami 1 , Kenro Koide 1 , Yoshihiro Hotta 1 , Shigeru Nishizawa 2 1Dept of Ophthalmol,Hamamatsu Univ Sch of Med 2Dept of Neurosurg,Hamamatsu Univ Sch of Med pp.539-542
Published Date 2006/4/15
DOI https://doi.org/10.11477/mf.1410100418
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A 41-year-old pregnant woman noted visual impairment and metamorphopsia. Central serous chorioretinopathy was suspected. When seen by us one month later,her corrected visual acuity was 1.5 right and 0.6 left. She showed no abnormal findings in the fundus. She then developed hypolycemia,polydipsia and polyuria. Following delivery by caesarean section one month later,she was suspected of hypopituitarism. Magnetic resonance imaging(MRI)showed a pituitary tumor. Perimetry showed bitemporal hemianopia. Systemic prednisolone was ineffective. Surgery led to the diagnosis of lymphocytic hypophysitis. Visual acuity and field became normal 9 days after surgery.

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