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Visual disturbance after childbirth as the initial manifestation in a case of lymphocytic hypophysitis Tomoaki Hattori 1 , Yoko Nakazawa 1 , Mitsuhito Mase 2 1Dept of Ophthalmol, West Med Cent Johoku Muni Hosp City of Nagoya 2Dept of Neurosurg, Nagoya City Univ Sch of Med pp.1511-1514
Published Date 2008/9/15
DOI https://doi.org/10.11477/mf.1410102393
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Abstract. Purpose:To report a presumed case of lymphocytic hypophysitis in a woman after childbirth. Case:A 37-year-old woman delivered a child by caesarean section due to suspected intrauterine infection. She noted visual disturbance in her left eye 12 days later. Findings:Her corrected visual acuity was 1.2 right and 0.8 left. Both eyes showed atypical temporal hemianopia. Magnetic resonance imaging(MRI)showed enlarged anterior lobe of pituitary body. Lymphocytic hypophysitis was suspected due to onset after childbirth, hypogalactia and low serum level of prolactin. Peroxal prednisolone at the daily dosis of 100 mg resulted in improved visual acuity after 9 days, normalization of visual field after 12 days, and decreased size of pituitary tumor by MRI. She has been doing well during 9 months until present. Conclusion:Clinical features and response to corticosteroid are highly suggestive of lymphocytic hypophysitis in this patient.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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