Pituitary Abscess with Panhypopituitarism Showing T1 Signal Hyperintensity of the Marginal Pituitary Area: A Non-invasive Differential Diagnosis of Pituitary Abscess and Pituitary Apoplexy
スポンサーリンク
概要
- 論文の詳細を見る
A 53-year-old man was hospitalized with general fatigue, headache, dizziness and polyuria. The laboratory findings revealed anterior hypopituitarism and central diabetes insipidus. He also showed eye movement disorder and facial sensory impairment. These symptoms were treated successfully with conservative medical treatment. Concurrently, abnormal pituitary MR imaging findings were revealed. Pituitary abscess was primarily suspected on MR imaging findings, although it was difficult to differentiate pituitary apoplexy by MR imaging findings, alone. In this report, we propose a new diagnostic approach of pituitary abscess, using a combination of CT, MR imaging and clinical manifestations, without either pituitary surgery or pituitary biopsy.
- 社団法人 日本内科学会の論文
著者
-
Terauchi Yasuo
Department Of Endocrinology And Metabolism Graduate School Of Medicine Yokohama City University
-
Orimo Satoshi
Department Of Neurology Kanto Central Hospital
-
Takeshita Tohru
Department Of Physics Shinshu University
-
Miyao Mariko
Department Of Anesthesia Kyoto University Hospital
-
Shirakawa Jun
Department Of Endocrinology And Metabolism Yokohama City University Graduate School Of Medicine
-
Miyao Mariko
Department of Endocrinology and Metabolism, Kanto Central Hospital
-
Mizuno Yuzo
Department of Endocrinology and Metabolism, Kanto Central Hospital
関連論文
- A Novel Initial Codon Mutation of the Thiazide-sensitive Na-Cl Cotransporter Gene in a Japanese Patient with Gitelman's Syndrome
- Molecular Mechanism of Moderate Insulin Resistance in Adiponectin-Knockout Mice
- Small Bowel Obstruction Due to an Intramesosigmoid Hernia Diagnosed by Multidetector Row Computed Tomography : A Case Report
- Impact of Increased PPARγ Activity in Adipocytes in vivo on Adiposity, Insulin Sensitivity and the Effects of Rosiglitazone Treatment
- PJ-296 Heterozygous PPAR γ Deficient Mice Showed Increased Neointima Formation with Vascular Smooth Muscle Cell Proliferation in Response to Cuff Injury(Atherosclerosis, Basic 3 (IHD) : PJ50)(Poster Session (Japanese))
- Lack of Insulin Receptor Substrate-2 Is a Link between Insulin Resistance and an Increased Intima of the Vessel in Mice
- Effectiveness of Repeated Intragastric Balloon Therapy in a Morbidly Obese Japanese Patient
- Brown tumor with fluid-fluid levels in a patient with primary hyperparathyroidism : radiological findings
- Benign Pleomorphic Adenoma with Extensive Cystic Degeneration : Unusual MR Findings in Two Cases
- Brown Tumor of the Sphenoid Sinus in a Patient with Secondary Hyperparathyroidism : CT and MR Imaging Findings
- CT and MR Findings of Basal Cell Adenoma of the Parotid Gland
- Diminished Left Ventricular Function and Coronary Perivascular Fibrosis Associated with Insulin Resistance do not Require Insulin Receptor Substarte-1 Mediated Signaling
- Effect of Dehydroepiandrosterone on Atherosclerosis in Apolipoprotein E-Deficient Mice
- Comparison of Adverse Gastrointestinal Effects of Acarbose and Miglitol in Healthy Men: A Crossover Study
- Relationship between the Serum Concentrations of C-reactive Protein and Parameters of Adiposity and Insulin Resistance in Patients with Type 2 Diabetes Mellitus
- Influence of Pitavastatin on Glucose Tolerance in Patients with Type 2 Diabetes Mellitus
- OE-220 Induction of Adipose PAI-1 Independent of Insulin Receptor Substrate-1 is the Major Determinant of Hypofibrinolysis in Insulin Resistance(Thromboembolism/Antithrombotic therapy/Thrombolysis-1 (H) OE37,Oral Presentation (English),The 70th Anniversar
- OE-119 Identification of Insulin Receptor Substrate Family Proteins Mediating PAI-1 Production in Cardiac and Adipose Tissues From IRS-1 Null Mice(Diabetes/Obesity/Metabolic syndrome-1 (H) OE20,Oral Presentation (English),The 70th Anniversary Annual Scien
- Induction of Adipose PAI-1 by Hyperinsulinemia in Vivo is the Major Determinant of Hypofibrinolysis in Obesity and Doesn't Require IRS-1(Thrombosis/Thrombolysis 2 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Genetically engineered models for type 2 diabetes
- Association of bone mineral density with a dinucleotide repeat polymorphism at the calcitonin (CT) locus
- Association of bone mineral density with polymorphism of the human matrix Gla protein locus in elderly women
- Identification of a novel polymorphism of estrogen receptor-α gene that is associated with calcium excretion in urine
- Significant Association of Serum Albumin with Severity of Retinopathy and Neuropathy, in Addition to That of Nephropathy, in Japanese Type 2 Diabetic Patients
- Requirement of the serine at residue 329 for lipid raft recruitment of DNAM-1 (CD226)
- LFA-1 decreases the antigen dose for T cell activation in vivo
- LFA-1-dependent lipid raft recruitment of DNAM-1 (CD226) in CD4^+ T cell
- Antibody-mediated Insulin Resistance Treated by Cessation of Insulin Administration
- Comparative Study of Effectiveness of Multiple-Daily Injections of Insulin Versus Twice-Daily Injections of Biphasic Insulin in Patients with Type 2 Diabetes
- Regional cerebral blood flow in a patient with Nasu-Hakola disease
- OE-318 Maintenance of Cardiac and Adipose PAI-1 Expression Despite the Lack of IRS-1 : a Knockout Mouse Study(Diabetes/Obesity 2 (H) : OE40)(Oral Presentation (English))
- Selective Ablation of IRS-1 Decreases Cardiac Contractility without Attenuating PAI-1 Expression or Perivascular Fibrosis
- Divided-Dose Administration of Miglitol just before and 15 Minutes after the Start of a Meal Smoothes Postprandial Plasma Glucose Excursions and Serum Insulin Responses in Healthy Men
- Development and Progression of Retinopathy after Inpatient Management of Diabetes
- Ovarian Fibroma (Fibrothecoma) with Extensive Cystic Degeneration : Unusual MR Imaging Findings in Two Cases
- Age-related changes in plasma androgen levels and their association with cardiovascular risk factors in male Japanese office workers
- Insights into Molecular Pathogenesis of Type 2 Diabetes from Knockout Mouse Models
- Association of radial bone mineral density with CA repeat polymorphism at the interleukin 6 locus in postmenoposal Japanese women
- Study of Cascade Shower Fluctuation with a Tile/Fiber Sampling Calorimeter(The Physics of Elementary Particles and Fields)
- Pituitary apoplexy during general anesthesia in beach chair position for shoulder joint arthroplasty
- 24-Hour Recording of Parkinsonian Gait Using a Portable Gait Rhythmogram
- [^I]Meta-iodobenzylguanidine Myocardial Scintigraphy Differentiates Corticobasal Degeneration from Parkinson's Disease
- Noncardiogenic Pulmonary Edema as the First Manifestation of Pheochromocytoma : A Case Report
- Emphysematous Cystitis
- Fitz-Hugh-Curtis Syndrome : Hepatic Capsular Enhancement and Diffuse Gallbladder Wall Thickening on Contrast-Enhanced CT
- Time-course of Changes of Visceral Fat Area, Liver Volume and Liver Fat Area during Intragastric Balloon Therapy in Japanese Super-obese Patients
- Congener-specific polychlorinated biphenyls and the prevalence of diabetes in the Saku Control Obesity Program (SCOP)
- Glucose-lowering effect of colestimide is associated with baseline HbA1c in type 2 diabetic patients with hypercholesterolemia
- Correlations of Fasting and Postprandial Blood Glucose Increments to the Overall Diurnal Hyperglycemic Status in Type 2 Diabetic Patients : Variations with Levels of HbA1c
- Present status of sulfonylurea treatment for type 2 diabetes in Japan : second report of a cross-sectional survey of 15,652 patients
- Decreased Insulin Secretion and Accumulation of Triglyceride in β Cells Overexpressing a Dominant-negative Form of AMP-activated Protein Kinase
- Effects of pre-meal versus post-meal administration of miglitol on plasma glucagon-like peptide-1 and glucose-dependent insulinotropic polypeptide levels in healthy men
- Correlation between baseline serum 1,5-anhydroglucitol levels and 2-hour post-challenge glucose levels during oral glucose tolerance tests
- Evaluation of organ-specific glucose metabolism by ^F-FDG in insulin receptor substrate-1 (IRS-1) knockout mice as a model of insulin resistance
- Effects of miglitol, sitagliptin or their combination on plasma glucose, insulin and incretin levels in non-diabetic men
- Japan Prevention Trial of Diabetes by Pitavastatin in Patients with Impaired Glucose Tolerance (the J-PREDICT study) : rationale, study design, and clinical characteristics of 1269 patients
- Effect of Acarbose Therapy Once or Twice a Day on Glycemic Control in Japanese Patients with Type 2 Diabetes
- Comparison of plasma active glucagon-like peptide-1 (GLP-1) levels assayed with or without plasma extraction in non-diabetic men
- Validity of Diabetes Self-Reports in the Saku Diabetes Study
- Adult-onset Still's Disease: Evaluation by Gallium-67 Citrate Scintigraphy
- Relationship between Coronary Artery Disease and Retinopathy in Patients with Type 2 Diabetes Mellitus
- Ruptured Pheochromocytoma Presenting with Acute Abdomen and Pulmonary Edema
- Pituitary Abscess with Panhypopituitarism Showing T1 Signal Hyperintensity of the Marginal Pituitary Area: A Non-invasive Differential Diagnosis of Pituitary Abscess and Pituitary Apoplexy
- Using miglitol at 30 min before meal is effective in hyperinsulinemic hypoglycemia after a total gastrectomy
- Factors associated with the glucose-lowering effect of vildagliptin identified from the results of the oral glucose tolerance test in Japanese patients with type 2 diabetes
- Mosapride citrate, a 5-HT_4 receptor agonist, increased the plasma active and total glucagon-like peptide-1 levels in non-diabetic men