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AJNR: American Journal of Neuroradiology logoLink to AJNR: American Journal of Neuroradiology
. 1995 Apr;16(4):968-70.

MR demonstration of Wegener granulomatosis of the infundibulum, a cause of diabetes insipidus.

E J Czarnecki 1, E M Spickler 1
PMCID: PMC8332296  PMID: 7611087

Abstract

We report a case of Wegener granulomatosis causing hyperprolactinemia followed by central diabetes insipidus. The initial T1-weighted MR image showed an isointense heterogeneous sellar mass. After the onset of diabetes insipidus, repeat sagittal and postcontrast T1-weighted images showed marked infundibular thickening, enlargement of the sellar mass, and enhancement of both the infundibulum and hypothalamus. Follow-up MR after marked clinical response to corticosteroids showed nearly complete resolution of the aforementioned abnormalities.

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