Title |
Atypical Leber Hereditary Optic Neuropathy: 18 Year Interval Between Eyes |
Creator |
Kaitlyn L. Ohden, BS; Peter H. Tang, MD, PhD; Chrystia C. Lilley, MD; Michael S. Lee, MD |
Affiliation |
Department of Ophthalmology and Visual Neurosciences (KLO, PHT, CCL, MSL), University of Minnesota, Minneapolis, Minnesota |
Abstract |
We describe a case of lymphocytic panhypophysitis (LPH) in a 30-year-old woman presenting with throbbing headaches and vision changes during her third trimester. LPH is the rarest subclassification of lymphocytic hypophysitis; it is typically found in males and has not previously been associated with pregnancy. Anterior and posterior pituitary deficits together with headaches should raise a high degree of suspicion regarding the possibility of LPH. The atypical magnetic resonance imaging finding of a heterogeneous pituitary mass additionally raised concern about pituitary apoplexy. Tissue from a transsphenoidal biopsy permitted diagnosis of lymphocytic hypophysitis. There was infiltration of the pituitary gland by small B and T lymphocytes. Resolution of the visual symptoms occurred after the biopsy and treatment with intravenous steroids. |
Subject |
Biomedical Research; Databases, Factual; Eye Diseases; Humans; Neurology; Ophthalmology; Registries |
Date |
2016-09 |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Publication Type |
Journal Article |
Source |
Journal of Neuro-Ophthalmology, September 2016, Volume 36, Issue 3 |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
ARK |
ark:/87278/s60s3hxw |
Setname |
ehsl_novel_jno |
ID |
1276530 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s60s3hxw |