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[Follow-up studies of optic neuritis with lymphocytic adenohypophysitis].
Nippon Ganka Gakkai Zasshi. 2001 Aug; 105(8):535-8.NG

Abstract

BACKGROUND

We report a 38-year-old female suffering from bilateral optic neuritis with lymphocytic adenohypophysitis.

CASE

The initial symptom of the 38-year-old-female was diabetes insipidus. Magnetic resonance imaging showed swollen pituitary stalk and disappearance of the T1 shortening of the neurohypophysis. Immunological tests showed that the serum anterior pituitary antibody was positive. These findings suggested lymphocystic adenohypophysitis. Bilateral optic neuritis also occurred and the pattern visual evoked cortical potential (VECP) demonstrated increased P100 peak latency and reduction of amplitude. After steroid pulse therapy, the visual acuity and field improved and the pattern VECP became normal. Temporal hemianopia was not noted.

CONCLUSION

A direct infiltration of the inflammatory change in the pituitary gland or some autoimmune problem was considered as a cause of the optic neuritis. In contrast to the VECPs of multiple sclerosis patients, the prolonged peak latency of pattern VECPs of this case were shortened in accordance with the recovery of visual acuity.

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Authors+Show Affiliations

Uemura A
Department of Ophthalmology, Chiba University School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.
Mizota A
No affiliation info available
Usami-Adachi E
No affiliation info available
Saeki N
No affiliation info available

MeSH

AdultEvoked Potentials, VisualFemaleFollow-Up StudiesHumansInflammationLymphocytesOptic NeuritisPituitary DiseasesPituitary Gland, Anterior

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

11558164

Citation

Uemura, A, et al. "[Follow-up Studies of Optic Neuritis With Lymphocytic Adenohypophysitis]." Nippon Ganka Gakkai Zasshi, vol. 105, no. 8, 2001, pp. 535-8.
Uemura A, Mizota A, Usami-Adachi E, et al. [Follow-up studies of optic neuritis with lymphocytic adenohypophysitis]. Nippon Ganka Gakkai Zasshi. 2001;105(8):535-8.
Uemura, A., Mizota, A., Usami-Adachi, E., & Saeki, N. (2001). [Follow-up studies of optic neuritis with lymphocytic adenohypophysitis]. Nippon Ganka Gakkai Zasshi, 105(8), 535-8.
Uemura A, et al. [Follow-up Studies of Optic Neuritis With Lymphocytic Adenohypophysitis]. Nippon Ganka Gakkai Zasshi. 2001;105(8):535-8. PubMed PMID: 11558164.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Follow-up studies of optic neuritis with lymphocytic adenohypophysitis]. AU - Uemura,A, AU - Mizota,A, AU - Usami-Adachi,E, AU - Saeki,N, PY - 2001/9/18/pubmed PY - 2001/11/3/medline PY - 2001/9/18/entrez SP - 535 EP - 8 JF - Nippon Ganka Gakkai zasshi JO - Nippon Ganka Gakkai Zasshi VL - 105 IS - 8 N2 - BACKGROUND: We report a 38-year-old female suffering from bilateral optic neuritis with lymphocytic adenohypophysitis. CASE: The initial symptom of the 38-year-old-female was diabetes insipidus. Magnetic resonance imaging showed swollen pituitary stalk and disappearance of the T1 shortening of the neurohypophysis. Immunological tests showed that the serum anterior pituitary antibody was positive. These findings suggested lymphocystic adenohypophysitis. Bilateral optic neuritis also occurred and the pattern visual evoked cortical potential (VECP) demonstrated increased P100 peak latency and reduction of amplitude. After steroid pulse therapy, the visual acuity and field improved and the pattern VECP became normal. Temporal hemianopia was not noted. CONCLUSION: A direct infiltration of the inflammatory change in the pituitary gland or some autoimmune problem was considered as a cause of the optic neuritis. In contrast to the VECPs of multiple sclerosis patients, the prolonged peak latency of pattern VECPs of this case were shortened in accordance with the recovery of visual acuity. SN - 0029-0203 UR - https://www.unboundmedicine.com/medline/citation/11558164/[Follow_up_studies_of_optic_neuritis_with_lymphocytic_adenohypophysitis]_ L2 - https://www.medicalonline.jp/meteo_linkout.php?issn=0029-0203&volume=105&issue=8&spage=535 DB - PRIME DP - Unbound Medicine ER -