Unusual Presentations of Sellar and Suprasellar Space Occupying Lesion: Our Institutional Experience
A pituitary abscess (PA) is a rare intracranial lesion. It is a critical disorder caused by an infectious process where purulent material accumulates inside the sella turcica. It occurs either as a primary disease or because of an infection and is associated with poor prognosis. In this article, we...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2025-08-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1778130 |
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| author | Ramalingam Giridharan Nirmal Kumar J. Srisaravanan |
| author_facet | Ramalingam Giridharan Nirmal Kumar J. Srisaravanan |
| author_sort | Ramalingam Giridharan |
| collection | DOAJ |
| description | A pituitary abscess (PA) is a rare intracranial lesion. It is a critical disorder caused by an infectious process where purulent material accumulates inside the sella turcica. It occurs either as a primary disease or because of an infection and is associated with poor prognosis. In this article, we share our experience with PA. At our institution, we operated on five cases of pituitary abscess since 2016. All the cases presented with bitemporal hemianopia and headache. None of them had fever. Pituitary hormones were normal except in two patients with a previous history of hypothyroidism. Magnetic resonance imaging (MRI) of the brain showed pituitary macroadenoma. They underwent the endoscopic transnasal transsphenoidal approach. Postoperatively their vision has improved. Endocrine functions were normal in all the patients following surgery. Culture sensitivity was sterile in all the patients. Diagnosis of pituitary abscess is highly difficult before surgery. Hence, the diagnosis should be considered when a patient presents with fever, headache, and signs of pituitary dysfunction and meningeal inflammation. Surgical and medical management leads to a lower mortality rate and a higher probability of hormone function recovery. |
| format | Article |
| id | doaj-art-c0372658dd9f4feebad9db59e6b49c7c |
| institution | Kabale University |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-c0372658dd9f4feebad9db59e6b49c7c2025-08-20T03:59:36ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672025-08-01140218719010.1055/s-0043-1778130Unusual Presentations of Sellar and Suprasellar Space Occupying Lesion: Our Institutional ExperienceRamalingam Giridharan0https://orcid.org/0009-0004-6642-6749Nirmal Kumar1J. Srisaravanan2Department of Neurosurgery, Madurai medical College and Hospital, Madurai, Tamil Nadu, IndiaDepartment of Neurosurgery, Madurai medical College and Hospital, Madurai, Tamil Nadu, IndiaDepartment of Neurosurgery, Madurai medical College and Hospital, Madurai, Tamil Nadu, IndiaA pituitary abscess (PA) is a rare intracranial lesion. It is a critical disorder caused by an infectious process where purulent material accumulates inside the sella turcica. It occurs either as a primary disease or because of an infection and is associated with poor prognosis. In this article, we share our experience with PA. At our institution, we operated on five cases of pituitary abscess since 2016. All the cases presented with bitemporal hemianopia and headache. None of them had fever. Pituitary hormones were normal except in two patients with a previous history of hypothyroidism. Magnetic resonance imaging (MRI) of the brain showed pituitary macroadenoma. They underwent the endoscopic transnasal transsphenoidal approach. Postoperatively their vision has improved. Endocrine functions were normal in all the patients following surgery. Culture sensitivity was sterile in all the patients. Diagnosis of pituitary abscess is highly difficult before surgery. Hence, the diagnosis should be considered when a patient presents with fever, headache, and signs of pituitary dysfunction and meningeal inflammation. Surgical and medical management leads to a lower mortality rate and a higher probability of hormone function recovery.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1778130pituitary abscessendoscopic trans nasal trans sphenoidal approach |
| spellingShingle | Ramalingam Giridharan Nirmal Kumar J. Srisaravanan Unusual Presentations of Sellar and Suprasellar Space Occupying Lesion: Our Institutional Experience Indian Journal of Neurosurgery pituitary abscess endoscopic trans nasal trans sphenoidal approach |
| title | Unusual Presentations of Sellar and Suprasellar Space Occupying Lesion: Our Institutional Experience |
| title_full | Unusual Presentations of Sellar and Suprasellar Space Occupying Lesion: Our Institutional Experience |
| title_fullStr | Unusual Presentations of Sellar and Suprasellar Space Occupying Lesion: Our Institutional Experience |
| title_full_unstemmed | Unusual Presentations of Sellar and Suprasellar Space Occupying Lesion: Our Institutional Experience |
| title_short | Unusual Presentations of Sellar and Suprasellar Space Occupying Lesion: Our Institutional Experience |
| title_sort | unusual presentations of sellar and suprasellar space occupying lesion our institutional experience |
| topic | pituitary abscess endoscopic trans nasal trans sphenoidal approach |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1778130 |
| work_keys_str_mv | AT ramalingamgiridharan unusualpresentationsofsellarandsuprasellarspaceoccupyinglesionourinstitutionalexperience AT nirmalkumar unusualpresentationsofsellarandsuprasellarspaceoccupyinglesionourinstitutionalexperience AT jsrisaravanan unusualpresentationsofsellarandsuprasellarspaceoccupyinglesionourinstitutionalexperience |