No abstract

A 53-year-old woman presented with acute meningoencephalitis associated with anterior and posterior pituitary insufficiency. A computed axial tomogram (CT) of the head revealed a suprasellar mass. The meningoencephalitis, presumably of bacterial origin, resolved after antibiotic therapy and, on a repeat CT, the suprasellar mass had disappeared. Five months after the initial illness, the patient's diabetes insipidus had resolved, anterior pituitary function had improved, and there was no sign of the suprasellar mass. The presence of a suprasellar mass in conjunction with acute meningoencephalitis and anterior and posterior pituitary insufficiency should raise the suspicion that the mass is not neoplastic and may be infectious or inflammatory in origin.

It is our goal to provide young adolescents with the information needed to make an informed choice, and a support system for them and their families, in whatever they choose. 1. Sterilization is not advocated. 2. Pregnancy is not advocated. 3. Reliable birth control methods are encouraged. 4. Organized reproductive counseling is essential using concrete problem solving--diagram, taste tests, etc. 5. Diet trial before or during pregnancy requires an informed understanding of the responsibilities of parenthood.