Lymphocytic Hypophysitis Accompanied by Aseptic Meningitis Mimics Subacute Meningoencephalitis
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概要
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A 66-year-old man was admitted to our hospital with muscle pain, fatigue and appetite loss that had lasted for a month. The patient was somnolent and had nuchal stiffness with a high fever. Cerebrospinal fluid (CSF) tests demonstrated lymphocytic pleocytosis with a decreased CSF-blood glucose ratio. The tests for tuberculous, fungal and carcinomatous meningitis and herpetic meningoencephalitis were negative. Endocrinological exams showed hypopituitarism and diabetes insipidus. A pituitary MRI showed an enlargement of the pituitary stalk. A diagnosis of lymphocytic hypophysitis with aseptic meningitis was made after the exclusion of secondary hypophysitis. Lymphocytic hypophysitis with aseptic meningitis can mimic subacute meningoencephalitis.
著者
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Izawa Naoki
Department Of Neurology Dokkyo University School Of Medicine
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Hirata Koichi
Department Of Gastrointestinal Surgery And Oncological Surgery Sapporo Medical University School Of
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Suzuki Keisuke
Department of Applied Chemistry and Biotechnology, Faculty of Engineering, Yamanashi University
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Hashimoto Kenichi
Department of Neurology, Dokkyo Medical University, Japan
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Ouchi Keita
Department of Neurology, Dokkyo Medical University
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Nakamura Toshiki
Department of Neurology, Rehabilitation Amakusa Hospital
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Sakuta Hideki
Department of Neurology, Dokkyo Medical University, Japan
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Asakawa Yohei
Department of Neurology, Dokkyo Medical University, Japan
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Numao Ayaka
Department of Neurology, Dokkyo Medical University, Japan
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Nakamura Toshiki
Department of Neurology, Rehabilitation Amakusa Hospital, Japan
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