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Showing posts from September, 2020

Dementia: A Very Short Introduction

Author: Kathleen Taylor ISBN: 9780198825784 Binding: Paperback Publication Date: 01 October 2020 Price: $11.95 from journals https://ift.tt/3n5nQKl

Cerebral Palsy Also Has Genetic Underpinnings

Researchers have identified mutations in single genes that appear to be responsible for some cases of cerebral palsy which were not caused as a result of birth injury. from Neuroscience News https://ift.tt/3ji6bgv

Drink Coffee After Breakfast, Not Before, for Better Metabolic Control

While poor sleep can have some impact on metabolism, drinking coffee immediately after waking can harm glucose control. Strong black coffee consumed before breakfast increased blood glucose response to food by 50%. from Neuroscience News https://ift.tt/30jXNFu

Antipsychotics for Treating Adult Depression Linked With Higher Mortality

Study reveals a link between people with depression who are prescribed newer antipsychotic medications and higher mortality risk. from Neuroscience News https://ift.tt/34dKXd3

Novel Role of Microglia as Modulators of Neurons in the Brain Is Discovered

Researchers have identified a bio-chemical circuit that supports neuron-microglia communication. When neurons are active, they release ATP. Microglia sense extracellular ATP and the compound draws the immune cell toward the neuron. from Neuroscience News https://ift.tt/2GkX14f

Breastfeeding Hormones Make Mothers Happier

Breastfeeding mothers with higher levels of oxytocin show more enhanced positive recognition of adult faces. The findings shed light on how oxytocin may support both continued nurturing behaviors and affects general social cognition of other adults. from Neuroscience News https://ift.tt/3n2E9Yp

Social Novelty Has a Special Place in the Brain

A specialized area of the mouse brain called the SuM specializes in detecting novel experiences. Within this brain area, responses to social novelty, or experiences related to unknown individuals, were segregated from those related to unfamiliar places, before being sent to areas of the brain associated with memory. from Neuroscience News https://ift.tt/3cLpYlP

Musical hallucinations with a right frontotemporal stroke

Congratulations to Drs. Buchwald, Heilman and Simpkins on the publication of “ Musical hallucinations with a right frontotemporal stroke ,” in the September issue of Neurocase.   Abstract Musical hallucinations have been reported in association with psychiatric diseases, brain stem strokes, deafness, degenerative diseases, intoxications, pharmacologic agents, and epilepsy. We present a patient who in the absence of these disorders developed musical hallucinations from an infarction of the right hemisphere that primarily injured his right frontal and anterior temporal lobes. This report discusses some of the possible mechanisms for this patient’s presentation. Although the mechanism of his musical hallucinations remains unclear, recognition of this uncommon syndrome is important when structuring rehabilitation and management for patients with stroke who have this disorder.   from Department of Neurology » College of Medicine » University of Florida https://ift.tt/2G32gFX...

Inflammatory Gene Provides Clue to Obesity Risk

Mutations in the inflammatory RIPK1 gene have been identified in people with obesity. The variation caused an increased amount of the gene in fat tissue. This increased risk of obesity. from Neuroscience News https://ift.tt/33bZ43u

How the Brain Processes Color

Novel technology allows researchers to understand how a fruit fly's brain processes color. from Neuroscience News https://ift.tt/343c62g

A Revised Map of Where Working Memory Resides in the Brain

Working memory isn't confined to one area of the brain. It requires synchronous activity of at least two brain areas. from Neuroscience News https://ift.tt/2Gi1wMW

Computer Model Explains Altered Decision Making in Schizophrenia

An artificial neural network has identified a potential mechanism for the impaired decision-making often seen in schizophrenia patients, which involves the reduced activity of NDMA receptors. from Neuroscience News https://ift.tt/3jefcqR

Noise Can Put You off Your Food

Relaxing music can help enhance enjoyment while dining, a new study reports. However, normal background noise in restaurants can have a negative impact on the dining experience. from Neuroscience News https://ift.tt/2G1lRX3

Repeated Pregnancy Loss May Be Tied to the Olfactory System

Women who experience unexplained repeated pregnancy loss (uRPL) process olfactory signals related to male body odor differently to other women. Those who experience uRPL are better able to identify the smell of their spouse. from Neuroscience News https://ift.tt/348JmFA

Junctional dilatation of the basilar tip: A Normal anatomical variant with a benign natural history

The intracranial arterial vasculature has numerous anatomical variants, which vary from largely benign to having remarkable clinical implications. The significance of a lesser known variant described as a junctional dilatation of the basilar artery tip has not yet been described in the literature. from Journal of the Neurological Sciences https://ift.tt/344GyJD

COVID-19 May Deplete Testosterone

A new study suggests COVID-19 may deplete testosterone levels in males. Findings reveal as testosterone decreased, the severity of coronavirus increased. Men who died from coronavirus infection had significantly lower mean testosterone than those who recovered. For those who were asymptomatic, 65.2% reported a loss in libido. from Neuroscience News https://ift.tt/3cEbjsx

Evolutionary and Heritable Axes Shape Our Brain

Researchers have deciphered two axes along which the human brain is organized. The axes are mainly determined by genetic factors. from Neuroscience News https://ift.tt/347nKcz

Link Between Sleep Apnea and Alzheimer’s Confirmed

Amyloid plaques form in the same location and spread in the same way in the brains of people with both obstructive sleep apnea and Alzheimer's disease. from Neuroscience News https://ift.tt/2S6Is6P

How the Brain Balances Emotion and Reason

Area 32, a region of the anterior cingulate, balances activity from cognitive and emotional areas of the primate brain. from Neuroscience News https://ift.tt/3n2w7i6

Time is Brain for Seizures Too, and Fast-Acting EEG Techs are Critical

Time is brain . That phrase has become a well-known rallying cry to waste no time in the treatment of stroke patients. The quicker medical care is given, the more lives are saved and the less disability people suffer. What many do not know is that this phrase also applies to cases of epilepsy where EEG techs become a vital part of the fast-acting team. That was a major message in a talk given by Leisha Osburn at the recent annual meeting of ASET–the Neurodiagnostic Society. “I grew up in EEG hearing many times, ‘It can wait until tomorrow,’” said Osburn, who has been an EEG tech for many years and is now pursuing a Ph.D. studying the use of EEG in the emergency room. “There is never a STAT EEG. We don’t really know that it hurts patients to have seizures or be in status.’” That has changed. Research over the last 10 years has shown that seizures are independently associated with morbidity and mortality, said Osburn who pointed to a study published in 2020 in the journal Pediatric...

Bilateral optic disc edema with preserved visual function not related to papilledema

Bilateral optic disc edema (ODE) with preserved visual function is typically a result of papilledema, but the causes of this finding in the absence of raised intracranial pressure have not been systematically evaluated. The goal of this study was to determine the causes of bilateral ODE with preserved visual function not related to intracranial hypertension to help in developing a differential diagnosis for this finding. We retrospectively reviewed 221 consecutive patients presenting to a tertiary neuro-ophthalmology practice over a period of 2 years. from Journal of the Neurological Sciences https://ift.tt/3i3o3tW

The Value of Supplementing Your Income Through Intermittent Locum Tenens

Are you considering adding another revenue stream to your practice? You should consider intermittent locum tenens , says Todd Barnes, a clinical business administrator in Oklahoma. With low overhead and a flexible schedule, locum tenens can be very lucrative. It might even help you combat burnout. Locum tenens is gig work for a physician who literally “takes the place of” another physician while they are on vacation, out sick, or away on maternity leave. Some places hire locum tenens doctors simply because of the shortage of neurologists. The length of coverage can vary. If you already have a job, it is important to know that it can be done intermittently. “We’ve been using quite a bit of locum tenens at our place, and some of them work just a weekend here and there. It is extremely lucrative,” says Barnes. “I was shocked to see how much we were paying. Obviously, all that doesn’t go to the physician, some goes to the company.” The “company” he is referring to is a staffing agenc...

Multiple Unapproved Drugs Found in “Brain Boosting” Supplements

Researchers identified five unapproved drugs in dangerous combinations and doses in over-the-counter cognitive enhancement drugs. Side effects of the unapproved drugs include increases and decreases in blood pressure, agitation, and sedation. from Neuroscience News https://ift.tt/3kR9StD

Focal Areas of High Signal Intensity in Children with Neurofibromatosis Type 1: Expected Evolution on MRI

Fellows’ Journal Club The authors retrospectively examined the MRI of children diagnosed with neurofibromatosis type 1 using the National Institutes of Health Consensus Criteria (1987), with imaging follow-up of at least 4 years. They recorded the number, size, and surface area of focal areas of high signal intensity according to their anatomic distribution on T2WI/T2-FLAIR sequences. A generalized mixed model was used to analyze the evolution of focal areas of high signal intensity according to age, and separate analyses were performed for girls and boys. Thirty-nine patients with a median follow-up of 7 years were analyzed. Focal areas of high signal intensity were found in 100% of patients, preferentially in the infratentorial white matter (35% cerebellum, 30% brain stem) and in the capsular lenticular region (22%). They measured 15mm in 95% of cases. The areas appeared from the age of 1 year; increased in number, size, and surface area to a peak at the age of 7; and then spontane...

Insomnia and Sleeping Less Than Six Hours May Increase Risk of Cognitive Impairment

People who reported chronic insomnia or sleep duration of fewer than six hours were twice as likely to experience cognitive impairment compared to those who experienced good sleeping patterns. The association was stronger for those with coexisting cardiometabolic conditions. from Neuroscience News https://ift.tt/2RYHeut

Is there any association between smoking and MND? — Neurochecklists Blog

Relationship between smoking and ALS: Mendelian randomisation interrogation of causality Opie-Martin S, Wootton RE, Budu-Aggrey A, et al. JNNP 2020 (Online ahead of print) Abstract Objective Smoking has been widely studied as a susceptibility factor for amyotrophic lateral sclerosis (ALS), but results are conflicting and at risk of confounding bias. We used the results of […] Is there any association between smoking and MND? — Neurochecklists Blog from The Neurology Lounge https://ift.tt/33X3udE

160 Genes Linked to Brain Shrinkage in Study of 45,000 Adults

Researchers have identified 160 genes linked to brain shrinkage in adults. The genes appear to be involved in brain development, vascular and neurodegenerative diseases, and some psychiatric conditions. from Neuroscience News https://ift.tt/336YeVD

Deep Learning for Pediatric Posterior Fossa Tumor Detection and Classification: A Multi-Institutional Study

Editor’s Choice This study cohort comprised 617 children (median age, 92 months; 56% males) from 5 pediatric institutions with posterior fossa tumors: diffuse midline glioma of the pons, medulloblastoma, pilocytic astrocytoma, and ependymoma. There were 199 controls. Tumor histology served as ground truth except for diffuse midline glioma of the pons, which was primarily diagnosed by MR imaging. A modified ResNeXt-50-32x4d architecture served as the backbone for a multitask classifier model, using T2-weighted MRI as input to detect the presence of tumor and predict tumor class. Model tumor detection accuracy exceeded an AUC of 0.99 and was similar to that of 4 radiologists. Model tumor classification accuracy was 92% with an F1 score of 0.80. The model was most accurate at predicting diffuse midline glioma of the pons, followed by pilocytic astrocytoma and medulloblastoma. Ependymoma prediction was the least accurate. Abstract BACKGROUND AND PURPOSE CAMs depicting the areas o...

Antecedent febrile illness and occurrence of stroke in West Africa: The SIREN study

Acute infections have been posited as potential precipitants or triggers of the occurrence of stroke among adults with traditional vascular risk factors. We evaluated associations between stroke occurrence and reported febrile illness within 4 weeks (potential antecedent infections) among West Africans. from Journal of the Neurological Sciences https://ift.tt/2Ge3LR3

Stem Cells Can Repair Parkinson’s-Damaged Circuits in Mouse Brains

Stem cells derived neurons integrate well into the correct regions of the brain, connecting with native neurons and restoring motor function in mouse models of Parkinson's disease. from Neuroscience News https://ift.tt/3icmQAN

COVID-19 Spurs Anxious and Upsetting Dreams

New studies reveal COVID-19 is having a negative impact on sleep, spurring dreams that cause anxiety and emotional upset. Women appear to experience more disturbing dreams than men. from Neuroscience News https://ift.tt/3i5jfnY

Higher Narcissism May Be Linked With More Political Participation

Study reveals those with narcissistic personality traits may be more politically active. Those with high levels of narcissism were more likely to contact politicians, sign petitions, and donate to political causes. Previous studies linked narcissistic traits to behaviors harmful to functioning democracies, including conflict and civic strife. from Neuroscience News https://ift.tt/369LOym

A Genetic Variant That Protects Against Alzheimer’s Promotes Immune Cell Functions

PLCG2-P522R, a genetic variant that protects against Alzheimer's disease, enhances key functions of immune cells. from Neuroscience News https://ift.tt/32ZFasm

Anxious, Moody Older Adults Are Vulnerable to Worse Cognitive Function

Older people who have higher levels of neuroticism are more likely to have worse cognitive function than those with other personality traits. Researchers say personality traits may be related to how well people can maintain their cognitive function, despite developing neuropathology associated with aging and dementia. from Neuroscience News https://ift.tt/3kSd7kP

Research Challenges Conventional Wisdom About Key Autism Trait

Sensorimotor problems associated with ASD are caused by several complex and precise neurobiological processes, including differences in the way those with autism perceive the world around them. from Neuroscience News https://ift.tt/3j6vmSV

How the Human Brain Is So Resilient

Non-invasive brain stimulation technology may enhance the human system's ability for rapid and adaptive decision making. from Neuroscience News https://ift.tt/3hYz0gb

Astrocytes May Hold the Key to Why and How We Sleep

Astrocytes could be as important as neurons when it comes to regulating sleep. from Neuroscience News https://ift.tt/2RSWtoG

How Changes in Healthy Brain Structure Affect Cognition

Neuroimaging study ties the degradation of circuitry in one area of the brain to reduced efficiency of executive function in older adults. from Neuroscience News https://ift.tt/33Vfc8F

Study Links Obesity With Reduced Brain Plasticity

Obesity isn't just bad for physical health. Being overweight can have a significant impact on neurological health too. Researchers identified a link between obesity and reduced brain plasticity. Brain plasticity impairment could lead to cognitive and learning deficits in those suffering from obesity. from Neuroscience News https://ift.tt/2RW7SE7

Parental Touch Reduces Pain Responses in Babies’ Brains

Skin-to-skin contact between a parent and newborn reduces how strongly a baby's brain responds to pain. from Neuroscience News https://ift.tt/32XJVCM

Resolving Neurodevelopmental and Vision Disorders Using Organoid Single-Cell Multi-omics

In this Perspective, Brancati et al. explain how stem-cell-derived human organoids combined with single-cell genomic phenotyping provide an exciting new inroad to understanding neurodevelopmental and vision disorders and discuss next steps in organoid engineering to address current deficiencies. from journals https://ift.tt/32VMkhl

Artificial Neural Networks for Neuroscientists: A Primer

Artificial neural networks (ANNs) are essential tools in machine learning that have drawn increasing attention in neuroscience. Besides offering powerful techniques for data analysis, ANNs provide a new approach for neuroscientists to build models for complex behaviors, heterogeneous neural activity, and circuit connectivity, as well as to explore optimization in neural systems, in ways that traditional models are not designed for. In this pedagogical Primer, we introduce ANNs and demonstrate how they have been fruitfully deployed to study neuroscientific questions. We first discuss basic concepts and methods of ANNs. Then, with a focus on bringing this mathematical framework closer to neurobiology, we detail how to customize the analysis, structure, and learning of ANNs to better address a wide range of challenges in brain research. To help readers garner hands-on experience, this Primer is accompanied with tutorial-style code in PyTorch and Jupyter Notebook, covering major topics. ...

Inpatient diagnoses of idiopathic normal pressure hydrocephalus in the United States: Demographic and socioeconomic disparities

Epidemiology provides an avenue for identifying disease pathogenesis, hence determining national incidence, along with socioeconomic and demographic variables involved in iNPH, can provide direction in elucidating the etiology and addressing healthcare inequalities. from Journal of the Neurological Sciences https://ift.tt/3kJpMpQ

Novel TRPV4 mutation in a large Chinese family with congenital distal spinal muscular atrophy, skeletal dysplasia and scaly skin

Mutations in the transient receptor potential vanilloid 4 (TRPV4) gene, encoding a polymodal Ca2+ permeable channel, have been associated with a spectrum of dominantly inherited skeletal dysplasias and neuropathies. The clinical manifestations of TRPV4-associated disorders are highly heterogeneous. This study describes a large Chinese family with a novel mutation in the TRPV4 gene. Nineteen individuals from this family were investigated. Clinical, electrophysiological, and radiographic examinations were performed. from Journal of the Neurological Sciences https://ift.tt/361gQIu

What are the characteristics of headache in COVID19?

COVID-19 is a real headache! Bolay H, Gül A, Baykan B. Headache 2020 (Online ahead of print). Abstract Background After the emergence of a novel coronavirus named SARS-CoV-2, coronavirus disease 2019 (COVID-19) was initially characterized by fever, sore throat, cough, and dyspnea, mainly manifestations of respiratory system. However, other manifestations such as headache, abdominal pain, […] What are the characteristics of headache in COVID19? — Neurochecklists Blog from The Neurology Lounge https://ift.tt/3kGZh4s

Complications From Diabetes Linked to Worse Memory and IQ in Children

Study links diabetic ketoacidosis to lower IQ scores and worse memory in children with type 1 diabetes. from Neuroscience News https://ift.tt/32U0cZu

A Neural Circuit for Detecting Male Pheromone Cues Relevant to Inter-Male Aggression

Researchers have identified a novel neural circuit that detects male pheromone cues pertaining to inter-male aggression. from Neuroscience News https://ift.tt/3coCs2Q

Small Increase in Risk of Autism Seen for Pre- and Post-Term Births

The risk of ASD may increase slightly for every week a child is born before or after 40 weeks gestation. from Neuroscience News https://ift.tt/2Eso8K0

Playing Video Games as a Child Can Improve Working Memory Years Later

People who were avid gamers during childhood performed better at working memory tasks, even if they no longer played than their non-gaming peers. from Neuroscience News https://ift.tt/2EsTIY6

Parkinson’s Disease Is Not One, but Two Diseases

Parkinson's disease can be divided into two variants that start in different places in the body. For some, the neurodegenerative disease starts in the intestines and spreads to the brain. In others, the disease begins in the brain and spreads to the intestines and other organs. from Neuroscience News https://ift.tt/3iSHaIw

Genetic analysis of the first SCA36 family showing clinical anticipation

Spinocerebellar ataxia type 36 (SCA36) is an autosomal dominant, slowly progressive cerebellar syndrome caused by unstable large expansion of GGCCTG hexanucleotide repeat (normal: 3–14 repeats, disease: 650–2500 repeats) in the first intron of the nucleolar protein 56 gene [1–3]. I read with interest the article by Ota et al. [4], which genetically characterized the first Japanese SCA36 family showing clinical anticipation. So far, there had been no or little evidence of association between number of GGCCTG repeat and age at onset of SCA36 patients. from Journal of the Neurological Sciences https://ift.tt/300889B

What is the actual profile of impaired taste and smell in COVID19?

Taste and smell dysfunction in COVID-19 patients. Abalo-Lojo JM, Pouso-Diz JM, Gonzalez F. Ann Otol Rhinol Laryngol 2020; 129:1041-1042 Abstract Background The COVID-19 pandemia emerged in December 2019 is by virus SARS-CoV-2 genetically related to SARS-CoV-1. Both share the angiotensin-converting enzyme 2 receptor (ACE2), which seems to be used by the virus to enter the […] What is the actual profile of impaired taste and smell in COVID19? — Neurochecklists Blog from The Neurology Lounge https://ift.tt/3ckpnHs

Author response: The dimension of preventable stroke in a large representative patient cohort

We thank Dr. Kelly for the thoughtful comment on our article, 1 which allows us to highlight important aspects regarding chronic kidney disease (CKD) in our work. In fact, CKD is an underrecognized important risk factor for ischemic stroke, potentially affecting safety and efficacy of cardiovascular prevention therapy. In our large cohort of patients with ischemic stroke or TIA, no less than 27.6% (95% CI, 25.5%–29.7%) had a glomerular filtration rate (GFR) of less than 60 mL/min/1.73 m 2 upon hospital admission. The frequency of GFR categories G4 (GFR 15–29) and G5 (GFR < 15) were rather low at 1.4% (0.9%–2.0%) and 0.3% (0.2%–0.4%). These proportions must be interpreted such that the most severe strokes with permanent severe disability (mRS = 5 at hospital discharge) were excluded and proportions of severely decreased GFR and kidney failure are presumably higher in this latter group. Patients with a GFR less vs greater or equal 60 mL/min/1.73 m 2 showed similar proportions of at...

Reader response: The dimension of preventable stroke in a large representative patient cohort

In their report of data from the Poststroke Disease Management (STROKE-CARD) trial, 1 and consistent with other studies, 2,3 Boehme et al. found that a high proportion of stroke is associated with potentially modifiable risk factors that are incompletely addressed, representing an important opportunity for effective prevention. Boehme et al., however, list the impact of risk factor management on stroke among those with diabetes as being unclear because of the lack of data showing that tight glycemic control reduces stroke incidence. As a result, diabetes mellitus was not separately considered in their calculation that 79.5% (95% CI 77.6%–81.4%) of their cohort had at least one untreated risk condition. Although likely reflected in other intervention categories in their analysis, it needs to be stressed that the risk of stroke in persons with diabetes can be reduced with antihypertensives and statins. 4,5 Use of these approaches—in addition to general risk factor modification and the...

Author response: The dimension of preventable stroke in a large representative patient cohort

We thank Dr. Goldstein for the valuable comment on our article. 1 Diabetes is a major risk factor for ischemic stroke and every fifth patient with diabetes dies of stroke. 2 Guidelines recommend target control for hypertension and use of statins, whereas the benefit of prophylactic antiplatelet therapy remains controversial. 3,4 In our cohort of ischemic stroke and TIA patients, 321 (18.6%) had diabetes and 60 of them were newly diagnosed (3.5% of all stroke/TIA patients). Among diabetic patients, 47.6% had undertreated hypertension, which is similar to the situation in patients without diabetes (45.3%). However, the proportion of patients not receiving adequate antithrombotic therapy—based on previous cardiovascular disease or carotid stenosis—was higher among diabetics (34.6% vs 7.3%, p < 0.001) as was the proportion of inadequately treated hypercholesterolemia (63.6% vs 51.1%, p = 0.002). Overall, risk factor control in diabetic patients was even worse than in non-diabetic p...

Interictal hemodynamic abnormality during motor activation in sporadic hemiplegic migraine: An explorative study

The motor weakness in sporadic hemiplegic migraine (SHM) is a poorly understood aura manifestation. Cortical spreading depression affecting motor excitability and alterations of neurovascular coupling may be integral to the development of migraine aura. from Journal of the Neurological Sciences https://ift.tt/2RMNrto

Repeat sizes of NOP56 gene in a Japanese Asidan (SCA36) family with clinical anticipation

We appreciate the criticism raised by Dr. Matsuura questioning the genetic evaluation for NOP56 gene of Asidan (spinocerebellar ataxia 36) showing clinical anticipation. Asidan is an autosomal dominant neurodegenerative disorder caused by a hexanucleotide GGCCTG repeat expansion in intron 1 of the NOP56 gene, showing cerebellar ataxia, motor neuron disease phenotype, hearing loss and frontal cognitive impairment [1–3]. The NOP56 genetic mutation in Asidan is similar to the hexanucleotide GGGGCC repeat expansion in intron 1 of the C9orf72 gene observed in familial amyotrophic lateral sclerosis/frontotemporal dementia accompanied by Purkinje cell degeneration [4,5], suggesting the similar genetic and molecular mechanism between NOP56 and C9orf72 gene mutations [5]. from Journal of the Neurological Sciences https://ift.tt/3mAlcfH

People’s Life Goals Relate to Their Personality

People formulate personal goals consistent with their personality traits, and their goals are related to how their personality changes over time. from Neuroscience News https://ift.tt/35SGsXZ

PTSD May Double Risk of Dementia

People with PTSD were more than twice as likely to develop dementia than the general population. from Neuroscience News https://ift.tt/35NIgl4

How the Brain’s Inner Clock Measures Seconds

The striatum and premotor cortex show altered patterns in neural activity when encoding time. The dynamics of the striatum were more sequential than those of the premotor cortex. from Neuroscience News https://ift.tt/3hSt0FH

MRI Findings of Immune Checkpoint Inhibitor–Induced Hypophysitis: Possible Association with Fibrosis

Fellows’ Journal Club This retrospective international multicenter study comprised 20 patients with melanoma who were being treated with immune checkpoint inhibitors and clinically diagnosed with immune checkpoint inhibitor–induced hypophysitis. Three radiologists evaluated the following MR imaging findings: enlargement of the pituitary gland and stalk; homogeneity of enhancement of the pituitary gland; presence/absence of a well-defined poorly enhanced area and, if present, its location, shape, and signal intensity in T2WI; and enhancement pattern in contrast-enhanced dynamic MR imaging. Enlargement of the pituitary gland and stalk was observed in 12 and 20 patients, respectively. Nineteen patients showed poorly enhanced lesions (geographic hypoenhancing lesions) in the anterior lobe, and 11 of these lesions showed hypointensity on T2WI. Thyrotropin deficiency and corticotropin deficiency were observed in 19/20 and 12/17 patients, respectively. The authors conclude that pituitary ge...