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ea0063p710 | Pituitary and Neuroendocrinology 2 | ECE2019

Lymphocytic hypophysitis with disturbance of both anterior and posterior pituitary function preceded by headache, diagnosed as meningitis

Hishida Ai , Ebashi Chihiro , Ikeda Tatsuya , Yano Hiroko , Sawada Tsutomu , Fukuda Maki , Hata Yasuhiro , Sugano Hisashi

Introduction: Lymphocytic hypophysitis (LH) is a heterogeneous inflammatory condition in the pituitary gland, which may cause hormonal deficiency. However, some patients with LH initially present with headache.Case: A 63-year-old woman complained of a severe headache for 1 month. Examination of cerebrospinal fluid (CSF) showed increased lymphocyte counts, indicating meningitis. Contrast-enhanced magnetic resonance imaging (MRI) revealed an expanding sell...