Lymphocytic Hypophysitis Presenting as Bilateral Abducens Nerve Palsy: A Case Report

ABSTRACT

Lymphocytic hypophysitis (LYH) is a neuroendocrine disorder characterised by autoimmune inflammation of the pituitary gland with varying degrees of pituitary dysfunction, visual field defects and ocular motility disturbance. The authors report an interesting case of a 50-year-old woman presenting with intermittent bilateral abduction deficits. Neuroimaging and histopathological findings are presented. To the authors’ knowledge, this is the first report of recurrent horizontal binocular diplopia and complete bilateral internal carotid artery occlusion in association with LYH.

KEYWORDS:

• Lymphocytic hypophysitis
• autoimmune hypophysitis
• pituitary inflammation
• hypopituitarism

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.