Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleHead and Neck Imaging
Open Access

A Radiologic Score to Distinguish Autoimmune Hypophysitis from Nonsecreting Pituitary Adenoma Preoperatively

A. Gutenberg, J. Larsen, I. Lupi, V. Rohde and P. Caturegli
American Journal of Neuroradiology October 2009, 30 (9) 1766-1772; DOI: https://doi.org/10.3174/ajnr.A1714
A. Gutenberg
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J. Larsen
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
I. Lupi
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
V. Rohde
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
P. Caturegli
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Daly AF,
    2. Rixhon M,
    3. Adam C,
    4. et al
    . High prevalence of pituitary adenomas: a cross-sectional study in the province of Liege, Belgium. J Clin Endocrinol Metab 2006;91:4769–75. Epub 2006 Sep 12
    CrossRefPubMedWeb of Science
  2. 2.↵
    1. Ezzat S,
    2. Asa SL,
    3. Couldwell WT,
    4. et al
    . The prevalence of pituitary adenomas: a systematic review. Cancer 2004;101:613–19
    CrossRefPubMedWeb of Science
  3. 3.↵
    1. Biller BM,
    2. Swearingen B,
    3. Zervas NT,
    4. et al
    . A decade of the Massachusetts General Hospital Neuroendocrine Clinical Center. J Clin Endocrinol Metab 1997;82:1668–74
    CrossRefPubMed
  4. 4.↵
    1. Chanson P,
    2. Brochier S
    . Non-functioning pituitary adenomas. J Endocrinol Invest 2005;28:93–99
    PubMed
  5. 5.↵
    1. Asa SL
    . Practical pituitary pathology: what does the pathologist need to know? Arch Pathol Lab Med 2008;132:1231–40
    PubMed
  6. 6.↵
    1. Ferrante E,
    2. Ferraroni M,
    3. Castrignano T,
    4. et al
    . Non-functioning pituitary adenoma database: a useful resource to improve the clinical management of pituitary tumors. Eur J Endocrinol 2006;155:823–29
    Abstract/FREE Full Text
  7. 7.↵
    1. Dekkers OM,
    2. Pereira AM,
    3. Roelfsema F,
    4. et al
    . Observation alone after transsphenoidal surgery for nonfunctioning pituitary macroadenoma. J Clin Endocrinol Metab 2006;91:1796–801. Epub 2006 Feb 28
    CrossRefPubMedWeb of Science
  8. 8.↵
    1. Gutenberg A,
    2. Buslei R,
    3. Fahlbusch R,
    4. et al
    . Immunopathology of primary hypophysitis: implications for pathogenesis. Am J Surg Pathol 2005;29:329–38
    CrossRefPubMedWeb of Science
  9. 9.↵
    1. Caturegli P,
    2. Newschaffer C,
    3. Olivi A,
    4. et al
    . Autoimmune hypophysitis. Endocr Rev 2005;26:599–614
    CrossRefPubMedWeb of Science
  10. 10.↵
    1. McKeel DW
    . Primary hypothyroidism and hypopituitarism in a young woman: pathological discussion. Am J Med 1984;77:326–29
  11. 11.↵
    1. Caturegli P
    . Autoimmune hypophysitis: an underestimated disease in search of its autoantigen(s). J Clin Endocrinol Metab 2007;92:2038–40
    CrossRefPubMedWeb of Science
  12. 12.↵
    1. Leung GK,
    2. Lopes MB,
    3. Thorner MO,
    4. et al
    . Primary hypophysitis: a single-center experience in 16 cases. J Neurosurg 2004;101:262–71
    PubMedWeb of Science
  13. 13.↵
    1. Miyake I,
    2. Takeuchi Y,
    3. Kuramoto T,
    4. et al
    . Autoimmune hypophysitis treated with intravenous glucocorticoid therapy. Intern Med 2006;45:1249–52. Epub 2006 Dec 1
    CrossRefPubMed
  14. 14.↵
    1. Arafah BM,
    2. Nasrallah MP
    . Pituitary tumors: pathophysiology, clinical manifestations and management. Endocr Relat Cancer 2001;8:287–305
    Abstract
  15. 15.↵
    1. Minniti G,
    2. Jaffrain-Rea ML,
    3. Osti M,
    4. et al
    . Radiotherapy for nonfunctioning pituitary adenomas: from conventional to modern stereotactic radiation techniques. Neurosurg Rev 2007;30:167–75
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Seidenwurm DJ
    . Neuroendocrine imaging. AJNR Am J Neuroradiol 2008;29:613–15
    FREE Full Text
  17. 17.↵
    1. Connor SE,
    2. Penney CC
    . MRI in the differential diagnosis of a sellar mass. Clin Radiol 2003;58:20–31
    CrossRefPubMedWeb of Science
  18. 18.↵
    1. Gutenberg A,
    2. Hans V,
    3. Puchner MJ,
    4. et al
    . Primary hypophysitis: clinical-pathological correlations. Eur J Endocrinol 2006;155:101–07
    Abstract/FREE Full Text
  19. 19.↵
    1. Lury KM
    . Inflammatory and infectious processes involving the pituitary gland. Top Magn Reson Imaging 2005;16:301–06
    CrossRefPubMed
  20. 20.↵
    1. Pressman EK,
    2. Zeidman SM,
    3. Reddy UM,
    4. et al
    . Differentiating lymphocytic adenohypophysitis from pituitary adenoma in the peripartum patient. J Reprod Med 1995;40:251–59
    PubMed
  21. 21.↵
    1. Ahmadi J,
    2. Meyers GS,
    3. Segall HD,
    4. et al
    . Lymphocytic adenohypophysitis: contrast-enhanced MR imaging in five cases. Radiology 1995;195:30–34
    PubMed
  22. 22.↵
    1. Perez-Nunez A,
    2. Miranda P,
    3. Arrese I,
    4. et al
    . Lymphocytic hypophysitis with cystic MRI appearance. Acta Neurochir (Wien) 2005;147:1297–300
    CrossRefPubMed
  23. 23.↵
    1. Saiwai S,
    2. Inoue Y,
    3. Ishihara T,
    4. et al
    . Lymphocytic adenohypophysitis: skull radiographs and MRI. Neuroradiology 1998;40:114–20
    CrossRefPubMedWeb of Science
  24. 24.↵
    1. Johnsen DE,
    2. Woodruff WW,
    3. Allen IS,
    4. et al
    . MR imaging of the sellar and juxtasellar regions. Radiographics 1991;11:727–58
    PubMed
  25. 25.↵
    1. Kucharczyk W,
    2. Davis DO,
    3. Kelly WM,
    4. et al
    . Pituitary adenomas: high-resolution MR imaging at 1.5 T. Radiology 1986;161:761–65
    PubMedWeb of Science
  26. 26.↵
    1. Simmons GE,
    2. Suchnicki JE,
    3. Rak KM,
    4. et al
    . MR imaging of the pituitary stalk: size, shape, and enhancement pattern. AJR Am J Roentgenol 1992;159:375–77
    PubMedWeb of Science
  27. 27.↵
    1. Honegger J,
    2. Fahlbusch R,
    3. Bornemann A,
    4. et al
    . Lymphocytic and granulomatous hypophysitis: experience with nine cases. Neurosurgery 1997;40:713–22
    CrossRefPubMedWeb of Science
  28. 28.↵
    1. Wallace EW
    . The dural tail sign. Radiology 2004;233:56–57
    CrossRefPubMedWeb of Science
  29. 29.↵
    1. Royston P
    . Multiple imputation of missing values. Stata Journal 2004;4:227–41
  30. 30.↵
    1. Sun GW,
    2. Shook TL,
    3. Kay GL
    . Inappropriate use of bivariable analysis to screen risk factors for use in multivariable analysis. J Clin Epidemiol 1996;49:907–16
    CrossRefPubMedWeb of Science
  31. 31.↵
    1. Kartal I,
    2. Yarman S,
    3. Tanakol R,
    4. et al
    . Lymphocytic panhypophysitis in a young man with involvement of the cavernous sinus and clivus. Pituitary 2007;10:75–80
    CrossRefPubMed
  32. 32.↵
    1. Bonneville JF,
    2. Bonneville F,
    3. Cattin F
    . Magnetic resonance imaging of pituitary adenomas. Eur Radiol 2005;15:543–48
    CrossRefPubMedWeb of Science
  33. 33.↵
    1. Jugenburg M,
    2. Kovacs K,
    3. Stefaneanu L,
    4. et al
    . Vasculature in nontumorous hypophyses, pituitary adenomas, and carcinomas: a quantitative morphologic study. Endocr Pathol 1995;6:115–24
    PubMedWeb of Science
  34. 34.↵
    1. Heshmati HM,
    2. Kujas M,
    3. Casanova S,
    4. et al
    . Prevalence of lymphocytic infiltrate in 1400 pituitary adenomas. Endocr J 1998;45:357–61
    PubMed
  35. 35.↵
    1. Lipscombe L,
    2. Asa SL,
    3. Ezzat S
    . Management of lesions of the pituitary stalk and hypothalamus. The Endocrinologist 2003;13:38–51
    CrossRef
  36. 36.↵
    1. Lee MH,
    2. Choi HY,
    3. Sung YA,
    4. et al
    . High signal intensity of the posterior pituitary gland on T1-weighted MR images: correlation with plasma vasopressin concentration to water deprivation. Acta Radiol 2001;42:129–34
    FREE Full Text
  37. 37.↵
    1. Bonneville F,
    2. Narboux Y,
    3. Cattin F,
    4. et al
    . Preoperative location of the pituitary bright spot in patients with pituitary macroadenomas. AJNR Am J Neuroradiol 2002;23:528–32
    Abstract/FREE Full Text
  38. 38.↵
    1. Nakasu Y,
    2. Nakasu S,
    3. Ito R,
    4. et al
    . Tentorial enhancement on MR images is a sign of cavernous sinus involvement in patients with sellar tumors. AJNR Am J Neuroradiol 2001;22:1528–33
    Abstract/FREE Full Text
  39. 39.↵
    1. Guermazi A,
    2. Lafitte F,
    3. Miaux Y,
    4. et al
    . The dural tail sign: beyond meningioma. Clin Radiol 2005;60:171–88
    CrossRefPubMed
  40. 40.↵
    1. Melgar MA,
    2. Mariwalla N,
    3. Gloss DS,
    4. et al
    . Recurrent lymphocytic hypophysitis and bilateral intracavernous carotid artery occlusion: an observation and review of the literature. Neurol Res 2006;28:177–83
    CrossRefPubMed
  41. 41.↵
    1. Drange MR,
    2. Fram NR,
    3. Herman-Bonert V,
    4. et al
    . Pituitary tumor registry: a novel clinical resource. J Clin Endocrinol Metab 2000;85:168–74
    CrossRefPubMedWeb of Science
  42. 42.↵
    1. Guay AT,
    2. Agnello V,
    3. Tronic BC,
    4. et al
    . Lymphocytic hypophysitis in a man. J Clin Endocrinol Metab 1987;64:631–34
    CrossRefPubMed
  43. 43.↵
    1. Dinc H,
    2. Esen F,
    3. Demirci A,
    4. et al
    . Pituitary dimensions and volume measurements in pregnancy and post partum: MR assessment. Acta Radiol 1998;39:64–69
    PubMedWeb of Science
  44. 44.↵
    1. Corenblum B
    . Pituitary disease and pregnancy. Available at: http://www.emedicine.com/Med/topic3264.htm. Accessed May 28, 2009
  45. 45.↵
    1. Molitch ME
    . Pituitary disorders during pregnancy. Endocrinol Metab Clin North Am 2006;35:99–116, vi
    PubMedWeb of Science
  46. 46.↵
    1. Lamberts SW,
    2. de Herder WW,
    3. van der Lely AJ
    . Pituitary insufficiency. Lancet 1998;352:127–34
    PubMedWeb of Science
  47. 47.↵
    1. Freda PU,
    2. Post KD
    . Differential diagnosis of sellar masses. Endocrinol Metab Clin North Am 1999;28:81–117, vi
    CrossRefPubMed
  48. 48.↵
    1. Sautner D,
    2. Saeger W,
    3. Ludecke DK,
    4. et al
    . Hypophysitis in surgical and autoptical specimens. Acta Neuropathol 1995;90:637–44
    PubMed
  49. 49.↵
    1. Houdouin L,
    2. Polivka M,
    3. Henegar C,
    4. et al
    . Pituitary germinoma and lymphocytic hypophysitis: a pitfall—report of two cases[in French]. Ann Pathol 2003;23:349–54
    PubMed
  50. 50.↵
    1. Giustina A,
    2. Gola M,
    3. Doga M,
    4. et al
    . Clinical review 136: primary lymphoma of the pituitary—an emerging clinical entity. J Clin Endocrinol Metab 2001;86:4567–75
    CrossRefPubMed
  51. 51.↵
    1. Sato N,
    2. Sze G,
    3. Endo K
    . Hypophysitis: endocrinologic and dynamic MR findings. AJNR Am J Neuroradiol 1998;19:439–44
    Abstract
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 30 (9)
American Journal of Neuroradiology
Vol. 30, Issue 9
1 Oct 2009
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
A Radiologic Score to Distinguish Autoimmune Hypophysitis from Nonsecreting Pituitary Adenoma Preoperatively
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
A. Gutenberg, J. Larsen, I. Lupi, V. Rohde, P. Caturegli
A Radiologic Score to Distinguish Autoimmune Hypophysitis from Nonsecreting Pituitary Adenoma Preoperatively
American Journal of Neuroradiology Oct 2009, 30 (9) 1766-1772; DOI: 10.3174/ajnr.A1714

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
A Radiologic Score to Distinguish Autoimmune Hypophysitis from Nonsecreting Pituitary Adenoma Preoperatively
A. Gutenberg, J. Larsen, I. Lupi, V. Rohde, P. Caturegli
American Journal of Neuroradiology Oct 2009, 30 (9) 1766-1772; DOI: 10.3174/ajnr.A1714
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgment
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • Diffuse Basisphenoid Enhancement: Possible Differentiating Feature for Granulomatous Hypophysitis
  • MECHANISMS IN ENDOCRINOLOGY: Hypophysitis: diagnosis and treatment
  • 'If there were water we should stop and drink: neurofibromatosis presenting with diabetes insipidus
  • Mycophenolate mofetil treatment in a patient with recurrent lymphocytic hypophysitis
  • Diabetes insipidus is an unfavorable prognostic factor for response to glucocorticoids in patients with autoimmune hypophysitis
  • Differentiation between Cystic Pituitary Adenomas and Rathke Cleft Cysts: A Diagnostic Model Using MRI
  • Hypophysitis Induced by Monoclonal Antibodies to Cytotoxic T Lymphocyte Antigen 4: Challenges from a New Cause of a Rare Disease
  • Parasellar T2 Dark Sign on MR Imaging in Patients with Lymphocytic Hypophysitis
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Hydrops Herniation into the Semicircular Canals
  • ASL Sensitivity for Head and Neck Paraganglioma
  • Post SRS Peritumoral Hyperintense Signal of VSs
Show more HEAD AND NECK IMAGING

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire