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Nörosarkoidoz: hipofiziyer-hipotalamik tutulumlu bir olgu sunumu

Neurosarcoidosis: report of a case with pituitary-hypothalamic involvement

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2009

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Abstract (2. Language): 
A 38-year-old female patient admitted to our clinics with headache and itching in whole body. In cranial magnetic resonance imaging performed for the investigation of headache, hypothalamic mass lesion and leptomeningeal sarcoid foci were detected. The diagnosis of neurosarcoidosis was made on the basis of clinical and laboratory findings and radiological imaging. Cases with sarcoid foci in the form of hypothalamic mass lesion are very rare in the medical literature. We, thus, aimed to present our very rare neurosarcoidosis case with pituitary-hypothalamic involvement, which we detected incidentally during the investigation of vascular headache and to review the diagnosis and treatment of sarcoidosis.
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Abstract (Original Language): 
Otuz sekiz yaşındaki bayan hasta başağrısı ve tüm vücutta yaygın kaşıntı şikayetleriyle kliniğimize başvurdu. Başağrısı etiyolojisine yönelik tetkikleri sırasında çekilen kraniyal manyetik rezonans görüntülemesinde hipotalamik şüpheli kitle lezyon görünümü ve leptomeningeal sarkoid odakları saptandı. Olguya klinik, laboratuvar bulguları ve radyolojik görüntüleri eşliğinde nörosarkoidoz tanısı konuldu. Hipotalamik kitle lezyonu görünümünde sarkoid odakları olan olgulara literatürde oldukça nadir rastlanmaktadır. Bu nedenle vasküler başağrısı etiyolojisine yönelik yapılan tetkikleri sırasında tesadüfi olarak saptadığımız, hipofiziyer-hipotalamik tutulumu olan, nadir görülen nörosarkoidoz olgusunu sunmayı ve sarkoidoz hastalığının tanı ile tedavi aşamalarını gözden geçirmeyi istedik.
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  • 4
247-250
  • Turkish

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