Pituitary abscess during pregnancy: Management dilemmas
Pituitary abscess is a rare disorder and only one case of pituitary abscess in pregnancy has been reported in the literature. Since, its presenting manifestations are non-specific; the diagnosis is usually made per-operatively. A 35-year-old pregnant lady, with a sellar mass was managed successfully...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2013-09-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.124242 |
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| author | Krishna Chaitanya Joshi Ravi Thakkar Rahul Gupta |
| author_facet | Krishna Chaitanya Joshi Ravi Thakkar Rahul Gupta |
| author_sort | Krishna Chaitanya Joshi |
| collection | DOAJ |
| description | Pituitary abscess is a rare disorder and only one case of pituitary abscess in pregnancy has been reported in the literature. Since, its presenting manifestations are non-specific; the diagnosis is usually made per-operatively. A 35-year-old pregnant lady, with a sellar mass was managed successfully with trans-sphenoidal drainage of the abscess and antibiotic therapy. We discuss the unique set of problems faced in diagnosis and management. Choice of antibiotics, management of intra-operative cerebrospinal fluid leak and absence of any growth on cultures made the overall management challenging. Although, it can present with a dramatic course suggestive of central nervous system infection or a pituitary mass, but more often it mimics an indolent lesion, which can pose as a diagnostic and therapeutic challenge. |
| format | Article |
| id | doaj-art-704f814af04540f89744e58f9deca245 |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2013-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-704f814af04540f89744e58f9deca2452025-08-20T02:06:46ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672013-09-01020329830010.4103/2277-9167.124242Pituitary abscess during pregnancy: Management dilemmasKrishna Chaitanya JoshiRavi ThakkarRahul GuptaPituitary abscess is a rare disorder and only one case of pituitary abscess in pregnancy has been reported in the literature. Since, its presenting manifestations are non-specific; the diagnosis is usually made per-operatively. A 35-year-old pregnant lady, with a sellar mass was managed successfully with trans-sphenoidal drainage of the abscess and antibiotic therapy. We discuss the unique set of problems faced in diagnosis and management. Choice of antibiotics, management of intra-operative cerebrospinal fluid leak and absence of any growth on cultures made the overall management challenging. Although, it can present with a dramatic course suggestive of central nervous system infection or a pituitary mass, but more often it mimics an indolent lesion, which can pose as a diagnostic and therapeutic challenge.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.124242hypopituitarismmagnetic resonance imaging in pregnancypituitary abscesssellar mass in pregnancy |
| spellingShingle | Krishna Chaitanya Joshi Ravi Thakkar Rahul Gupta Pituitary abscess during pregnancy: Management dilemmas Indian Journal of Neurosurgery hypopituitarism magnetic resonance imaging in pregnancy pituitary abscess sellar mass in pregnancy |
| title | Pituitary abscess during pregnancy: Management dilemmas |
| title_full | Pituitary abscess during pregnancy: Management dilemmas |
| title_fullStr | Pituitary abscess during pregnancy: Management dilemmas |
| title_full_unstemmed | Pituitary abscess during pregnancy: Management dilemmas |
| title_short | Pituitary abscess during pregnancy: Management dilemmas |
| title_sort | pituitary abscess during pregnancy management dilemmas |
| topic | hypopituitarism magnetic resonance imaging in pregnancy pituitary abscess sellar mass in pregnancy |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.124242 |
| work_keys_str_mv | AT krishnachaitanyajoshi pituitaryabscessduringpregnancymanagementdilemmas AT ravithakkar pituitaryabscessduringpregnancymanagementdilemmas AT rahulgupta pituitaryabscessduringpregnancymanagementdilemmas |