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P409: ENDOSCOPIC ENDONASAL APPROACH TO SELLAR DECOMPRESSION AND BIOPSY FOR LYMPHOCYTIC HYPOPHYSITIS: 2-DIMENSIONAL OPERATIVE VIDEO
Camille K Milton, MD¹; Emal Lesha, MD¹; David G Laird, BS, BA¹; Delaney M Graham, BS¹; Christopher P Golembeski, MD, MBA²; Samuel Smith, MD, MPH³; L. Madison Michael, MD¹; ¹University of Tennessee Health Science Center/ Semmes-Murphey Clinic; ²PathGroup; ³University of Tennessee Health Science Center

A 21-year-old woman presented 6 days postpartum with progressive headache, blurred vision, and left hemianopia. Imaging demonstrated a sellar lesion with mass effect on the optic chiasm. After endoscopic endonasal approach to sellar decompression, the patient’s vision returned to baseline. Lymphocytic hypophysitis is a rare autoimmune condition affecting the pituitary gland that commonly occurs during pregnancy and postpartum. Our case demonstrates that neurosurgical intervention should be considered for cases with symptomatic mass effect. 

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