AJDRAJNR - American Journal of Neuroradiology

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Case Report
BRAIN

Presumed Infundibuloneurohypophysitis: Unusual Presentation in a Postpartum Patient

Harish K. Panickera, Natasa Janicicb, Dan Nguyena and Joseph Verbalisb

a Department of Neuroradiology Georgetown University Hospital, Washington, D.C
b Department of Endocrinology, Georgetown University Hospital, Washington, D.C

Address correspondence to Dan Nguyen, MD, Director of Neuroradiology, Georgetown University Hospital, CCC Building, Room C2201, Washington, D.C. 20007-2113

Summary: We describe a case of presumed postpartum infundibuloneurohypophysitis, which is a rare inflammatory process involving the pituitary stalk and posterior pituitary. Only one case has been previously reported in a postpartum woman. Serial MR images obtained in our patient revealed spontaneous regression of inflammation. The critical position of the inflammation leads to hormonal deficiencies, mostly involving the posterior pituitary. Treatment options include hormone replacement; the role of pharmacological steroids is controversial.