Development of an Empty Sella in Neurosarcoidosis

Arshpreet Kaur, Stephen J Winters, Pankaj Sharma, Zeng Wang, Charles E Moore, Mary Koutourousiou, Aly Abayazeed and Robert Bert
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Stephen J Winters: Division of Endocrinology, Metabolism and Diabetes, University of Louisville, USA
Zeng Wang: Department of Neurology, University of Louisville, USA
Charles E Moore: Division of Rheumatology, University of Louisville, USA
Mary Koutourousiou: Department of Neurosurgery, University of Louisville, USA
Robert Bert: Department of Radiology, University of Louisville, USA

Open Access Journal of Neurology & Neurosurgery, 2017, vol. 3, issue 1, 13-15

Abstract: We report the case of a 56 year old African American woman who presented with headache, difficulty walking and loss of hearing and vision who had undiagnosed diabetes insipidus and pan-hypopituitarism. MRI revealed inflammation of the meninges with thickening of the pituitary-infundibulum and hypothalamus with spread to the optic chiasm and optic nerves. Dura biopsy confirmed the clinical diagnosis of isolated neurosarcoidosis. During 8 months of treatment with prednisone and methotrexate, there was partial resolution of the dura thickening but the neurological manifestations and the endocrine disorder were unaffected. Swelling of the pituitary became an empty sella.

Keywords: Open Access Journal of Neurology; Journal of Neurology & Neurosurgery; Open Access Journal; juniper publishers; neurology open access journals; journal of neurology; neurology indexed journals; neurology scholarly journals; journal of neurology; neurology journals impact factor; juniper publishers reivew (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joajnn:v:3:y:2017:i:1:p:13-15

DOI: 10.19080/OAJNN.2017.03.555605

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