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'Stalkitis' in a pregnant 32-year-old woman: A rare cause of diabetes insipidus

โœ Scribed by Leggett, DAC ;Hill, PT ;Anderson, RJ


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
73 KB
Volume
43
Category
Article
ISSN
0004-8461

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โœฆ Synopsis


A case of lymphocytic infundibuloโ€neurohypophysitis (LINH) or โ€˜stalkitisโ€™ in a 32โ€yearโ€old woman who presented with diabetes insipidus (DI) during pregnancy is reported here. The diagnosis was made with MR imaging. The clinical and radiological features of this rare disorder and the differential diagnosis of infundibular mass lesions are discussed. The differentiation from lymphocytic adenohypophysitis (LAH) is made. No improvement of the DI accompanying LINH is achieved with transโ€sphenoidal surgery. Hence, recognition of typical cases with MR imaging and appropriate medical management avoids unnecessary neurosurgery. This is the second reported case of LINH associated with pregnancy and may suggest an association.


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