Primary pituitary abscess: case report
Pituitary abscesses are potentially life-threatening lesions if not appropriately diagnosed and treated. The authors have operated on more than five hundred cases of pituitary tumors and only one represented a case of pituitary abscess. A 35-year-old woman was investigated for chronic frontal headac...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações
2002-09-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000500033&tlng=en |
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| author | Ricardo Alexandre Hanel Andrei Koerbel Daniel Monte-Serrat Prevedello Marlus Sydnei Moro João Cândido Araújo |
| author_facet | Ricardo Alexandre Hanel Andrei Koerbel Daniel Monte-Serrat Prevedello Marlus Sydnei Moro João Cândido Araújo |
| author_sort | Ricardo Alexandre Hanel |
| collection | DOAJ |
| description | Pituitary abscesses are potentially life-threatening lesions if not appropriately diagnosed and treated. The authors have operated on more than five hundred cases of pituitary tumors and only one represented a case of pituitary abscess. A 35-year-old woman was investigated for chronic frontal headache. CT scan showed a cystic sellar lesion with ring enhancement after contrast injection leading to an initial diagnosis of pituitary adenoma. She underwent a sublabial transsphenoidal approach to the pituitary gland. After dural opening, purulent material was obtained and no tumor or other associated lesion was detected. There was no evidence of current or previous septicemic illness, meningitis, cavernous sinus thrombosis or sinus infection. Cultures were negative. She was put on antibiotics and discharged after 4 weeks. Nowadays, 10 years after treatment, she is doing well, with no anterior pituitary hormone deficit. MRI shows a partially empty sella without residual lesion and the pituitary stalck is in the midline. The early diagnosis and adequate treatment of this life-threatening lesion may result in excellent prognosis. |
| format | Article |
| id | doaj-art-78c3a72b474d4312958d6dfc90e60888 |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2002-09-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-78c3a72b474d4312958d6dfc90e608882025-08-20T02:07:28ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272002-09-01603B86186510.1590/S0004-282X2002000500033Primary pituitary abscess: case reportRicardo Alexandre Hanel0Andrei Koerbel1Daniel Monte-Serrat Prevedello2Marlus Sydnei Moro3João Cândido Araújo4Hospital Nossa Senhora das GraçasHospital Nossa Senhora das GraçasHospital Nossa Senhora das GraçasHospital Nossa Senhora das GraçasHospital Nossa Senhora das GraçasPituitary abscesses are potentially life-threatening lesions if not appropriately diagnosed and treated. The authors have operated on more than five hundred cases of pituitary tumors and only one represented a case of pituitary abscess. A 35-year-old woman was investigated for chronic frontal headache. CT scan showed a cystic sellar lesion with ring enhancement after contrast injection leading to an initial diagnosis of pituitary adenoma. She underwent a sublabial transsphenoidal approach to the pituitary gland. After dural opening, purulent material was obtained and no tumor or other associated lesion was detected. There was no evidence of current or previous septicemic illness, meningitis, cavernous sinus thrombosis or sinus infection. Cultures were negative. She was put on antibiotics and discharged after 4 weeks. Nowadays, 10 years after treatment, she is doing well, with no anterior pituitary hormone deficit. MRI shows a partially empty sella without residual lesion and the pituitary stalck is in the midline. The early diagnosis and adequate treatment of this life-threatening lesion may result in excellent prognosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000500033&tlng=enabscesspituitary glandhypophysis |
| spellingShingle | Ricardo Alexandre Hanel Andrei Koerbel Daniel Monte-Serrat Prevedello Marlus Sydnei Moro João Cândido Araújo Primary pituitary abscess: case report Arquivos de Neuro-Psiquiatria abscess pituitary gland hypophysis |
| title | Primary pituitary abscess: case report |
| title_full | Primary pituitary abscess: case report |
| title_fullStr | Primary pituitary abscess: case report |
| title_full_unstemmed | Primary pituitary abscess: case report |
| title_short | Primary pituitary abscess: case report |
| title_sort | primary pituitary abscess case report |
| topic | abscess pituitary gland hypophysis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000500033&tlng=en |
| work_keys_str_mv | AT ricardoalexandrehanel primarypituitaryabscesscasereport AT andreikoerbel primarypituitaryabscesscasereport AT danielmonteserratprevedello primarypituitaryabscesscasereport AT marlussydneimoro primarypituitaryabscesscasereport AT joaocandidoaraujo primarypituitaryabscesscasereport |