Diagnosis and minimally invasive surgery for the pituitary abscess: A review of twenty nine cases

Zhang, Xiaoluo; Sun, Jie; Shen, Ming; Shou, Xuefei; Qiu, Huijia; Qiao, Na; Zhang, Nan; Li, Shiqi; Wang, Yongfei; Zhao, Yao

doi:10.1016/j.clineuro.2012.02.020

Cited by 52 publications

(70 citation statements)

References 20 publications

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“…This case presented nonspecific pattern of headache, anterior pituitary dysfunction, visual disorders which accounts for 70-92%,54-85%,27-50% respectively and other symptoms may occur like central diabetic insipidus, fever with meningeal irritation and systemin illness with vertigo [3][4][5]. Commonly CT scan enlargement of the sella turcica and a well-defined lowattenuation rounded lesion demonstrating ring-enhancement [4] and MRI iso or hypo-intense lesion on T1WI, iso or hyper-intense on T2WI and ring enhancement on gadolinium administration [4,12] but in this case mild ring enhancement which signifies lack of matured capsule.…”

Section: Discussionmentioning

confidence: 99%

“…It may occur either de novo or as a result of hematogenous spread or spread from a contiguous focus of infection such as meningitis and sphenoiditis [3]. The most commonly isolated pathogens are Staphylococcus spp.…”

Section: Introductionmentioning

confidence: 99%

“…The most common symptom is nonspecific pattern of headache (70-92%), followed by anterior pituitary dysfunction, central diabetes insipidus (DI), visual impairment, fever, meningeal irritation and nonspecific symptoms like vertigo [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Trans-Sphenoidal Drainage of Pituitary Abscess: A Rare Case Report

Nath

Shah

Barua

et al. 2017

IJRRT

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Background: Pituitary abscess is less common but life threating which is usually misdiagnosed as pituitary tumor pre-operatively, in spite of radiological advancement. Definite diagnosis is possible only postoperatively. Material and methods:we report a case of 40 years old woman, admitted in our department with symptoms of headache, visual impairment and pituitary dysfunction. MRI brain revealed sellar and supra-sellar mass consistent with pituitary tumor. She eventually underwent endoscopic trans-sphenoidal removal. Per operatively pus was evident. A month later, she was well and fully recovered pituitary function. Results:The histopathological examination confirmed presence wall of abscess cavity, however, Culture showed no growth. Conclusion:This case report gives emphasis on the importance of considering pituitary abscess as a differential diagnosis in patients with sella/supra-sellar mass. Early diagnosis and surgical management of a pituitary abscess significantly decreases morbidity and mortality, and it also helps to establish the definite diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Endoscopic Trans-Sphenoidal Drainage of Pituitary Abscess: A Rare Case Report

Nath

Shah

Barua

et al. 2017

IJRRT

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“…Although the operation is efficacious, it is still an invasive and traumatic procedure. Complications of surgery include meningitis, cerebritis, vascular injury, and CSF leakage (Zhang et al, 2012). The incidence of complications is decreasing with the advancement in medical techniques.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, there should be adequate distribution of the antibiotics to the brain tissue. In fact, Zhang et al (2012) strongly recommended meningitislevel doses of a third-generation cephalosporin. The pathogen in the present case was not identified.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of pituitary abscess with intravenous antibiotics: a case report and literature review

Zhu

Jiang

et al. 2014

Genet. Mol. Res.

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ABSTRACT. Pituitary abscess is a rare intrasellar infectious disease. It is usually treated with a combination of surgical drainage and intravenous antibiotics. We describe the case of a 38-year-old man with headache, fever, left earache, subsequent diabetes insipidus, and anterior pituitary insufficiency due to pituitary abscess, which was confirmed on the basis of clinical symptoms, laboratory examination results, and magnetic resonance imaging features. He was treated nonsurgically with intravenous antibiotics, with complete resolution of the pituitary abscess and recovery of pituitary function. Nonsurgical treatment may be an option for pituitary abscess.

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