Idiopathic granulomatous hypophysitis: clinical and imaging features

Neuroradiology. 1997 Jan;39(1):7-11. doi: 10.1007/s002340050357.


Idiopathic pituitary granuloma is a rare disorder similar to lymphocytic adenohypophysitis. Few cases have been reported. We report a new histologically case proven with MRI. The patterns of clinical and radiological presentation and the management of this disorder are discussed. MRI findings suggestive of this condition include an intensely enhancing pituitary mass, associated with dural enhancement. Steroid therapy may be suggested avoiding unnecessary surgery.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / diagnosis
  • Adult
  • Diagnosis, Differential
  • Female
  • Granuloma / diagnosis*
  • Granuloma / diagnostic imaging
  • Granuloma / pathology
  • Humans
  • Inflammation / diagnosis
  • Inflammation / diagnostic imaging
  • Inflammation / pathology
  • Magnetic Resonance Imaging
  • Pituitary Diseases / diagnosis*
  • Pituitary Diseases / diagnostic imaging
  • Pituitary Diseases / pathology
  • Pituitary Neoplasms / diagnosis
  • Tomography, X-Ray Computed