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CC BY-NC-ND 4.0 · Asian J Neurosurg
DOI: 10.1055/s-0045-1808057
Case Report

Postpartum Pseudoadenomatous Hypophysitis Simulating a Pituitary Macroadenoma: A Case Report and Literature Review

Elkorno Mohammed 
1   Department of Neurosurgery, Specialty Hospital, CHU Ibn Sina, Mohammed V University, Rabat, Morocco
,
Oudrhiri Mohammed Yassaad
1   Department of Neurosurgery, Specialty Hospital, CHU Ibn Sina, Mohammed V University, Rabat, Morocco
,
Elkorno Hajar
1   Department of Neurosurgery, Specialty Hospital, CHU Ibn Sina, Mohammed V University, Rabat, Morocco
,
Elouahabi Abdessamad
1   Department of Neurosurgery, Specialty Hospital, CHU Ibn Sina, Mohammed V University, Rabat, Morocco
,
Cherradi Nadia
2   Department of Anapathology, Specialty Hospital, CHU Ibn Sina, Mohammed V University, Rabat, Morocco
,
Elouazzani Hafssa
2   Department of Anapathology, Specialty Hospital, CHU Ibn Sina, Mohammed V University, Rabat, Morocco
,
Arkha Yasser
1   Department of Neurosurgery, Specialty Hospital, CHU Ibn Sina, Mohammed V University, Rabat, Morocco
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Abstract

Inflammatory hypothalamo-hypophyseal disorders are uncommon, representing only 1% of hypophyseal lesions. Among these, postpartum lymphocytic hypophysitis emerges as a particularly notable etiology. As a relatively recent entity, its recognition mandates a multidisciplinary approach to ensure preservation of compromised vital prognosis and amelioration of associated neuro-ophthalmologic and/or hypophyseal manifestations. We present a remarkable case of lymphocytic hypophysitis in a 32-year-old woman, unveiled during the postpartum period. Despite employing magnetic resonance imaging (MRI), preoperative diagnosis remained challenging. Surgical intervention became imperative due to progressive visual impairments. Postoperative course demonstrated favorable evolution, characterized by significant enhancement in visual acuity and normalization of cerebral MRI findings during follow-up.

Keywords

hypophysitis - pituitary gland - endonasal surgery


Publikationsverlauf

Artikel online veröffentlicht:
24. April 2025

© 2025. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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