Trigemino-autonomic headache and Horner syndrome as a first sign of granulomatous hypophysitis

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Trigemino-autonomic headache and Horner syndrome as a first sign of granulomatous hypophysitis

OBJECTIVE To report a rare case of incipient granulomatous hypophysitis presenting by atypical trigemino-autonomic cephalalgia (TAC) and Horner syndrome. METHODS The patient was investigated with repeated brain MRI, CSF examination, thoracic CT, Doppler and duplex ultrasound of the cerebral arteries, and extensive serologic screening for endocrine and autoimmune markers. Written informed cons...

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364 CMYK hyperintense bright spot signal of the normal neurohypophysis, thickening of pituitary stalk and enlargement of neurohypophysis in cases where it is involved. A review of literature revealed only two case reports of this association with lymphocytic hypophysitis (both in female patients), and one case with granulomatous hypophysitis (intrasellar tuberculoma). Surgical intervention is r...

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Idiopathic granulomatous hypophysitis presenting as pituitary apoplexy.

Idiopathic granulomatous hypophysitis (IGH) is an extremely rare chronic inflammatory lesion of the pituitary gland. This condition typically presents with chronic onset of headache and slow development of visual deficits. Pituitary apoplexy is a clinical syndrome characterized by sudden onset of headache, vision loss, opthalmoplegia, and signs of meningeal irritation. Although IGH has been pre...

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A Case of Idiopathic Granulomatous Hypophysitis

Granulomatous hypophysitis is a rare pituitary condition that commonly presents with enlargement of the pituitary gland. A 31-year-old woman was admitted to the hospital with a severe headache and bitemporal hemianopsia. Magnetic resonance imaging (MRI) showed an 18 × 10-mm sellar mass with suprasellar extension and compression of the optic chiasm. Interestingly, brain MRI had shown no abnormal...

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Trigemino autonomic cephalalgia and Argyll Robertson pupil.

Dr. Marcio Balthazar – Rua Dr. Emílio Ribas 1587 / 51 13025-142 Campinas SP Brasil. E-mail: [email protected] The trigeminal autonomic cephalalgias (TACs) are a group of primary headache disorders characterized by short-lasting pain, often unilateral, with acompanying ipsilateral autonomic features like conjuntival injection, lacrimation, nasal congestion, rhinorrhea, ptosis or eyelid edema. Th...

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ژورنال

عنوان ژورنال: Neurology - Neuroimmunology Neuroinflammation

سال: 2017

ISSN: 2332-7812

DOI: 10.1212/nxi.0000000000000332