Our experience a case of pituitary abscess presenting as a cavernous sinus syndrome

José Antonio Chávez López; Rosalina García Cisneros; Antonio Zarate Mendez; Carmen Morel Trejo; Ayami Ogata Medel

2016, Number 4

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Arch Neurocien 2016; 21 (4)

Our experience a case of pituitary abscess presenting as a cavernous sinus syndrome

Chávez LJA, García CR, Zarate MA, Morel TC, Ogata MA

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Language: Spanish
References: 18
Page: 44-49
PDF size: 182.13 Kb.

ABSTRACT

Pituitary abscess is a rare condition; it represent 0.6% of neurosurgical pathologies sellar. Preoperative diagnosis is difficult because there is no characteristic clinical picture. It may be associated with a pre-existing injury pituitary or primary way in a healthy gland. We present the case of a male patient 56 years old with a history of diabetes mellitus and hypertension, who presented with retroocular headache, nausea, vomiting and cavernous sinus syndrome.

REFERENCES

1.Simmonds M. Zur Pathologie der Hypophysis Verh Dtsh Path 1914;17:208-12.
2.Ciappetta C, Calace A, Ivo D´Urso P, De Candia N. Endoscopic treatment of pituitary abscess: two case report and literature review. Neurosurg rev 2008; 31:237-46.
3.Jain KC, Varma A, Mahapatra AK. Pituitary abscess: a series of six cases. Br J Neurosurg 1997;11(2):139-43.
4.Heary RF, Maniker AH, Wolansky LJ. Candidal Pituitary abscess: case report. Neurosurgery 1995; 36:1009-13.
5.Su YH, Chen Y, Tseng SH. Pituitary abscess. J Clin Neurosci 2006;13:1038-41.
6.Altas M, Serefhan A, Silav G, Cerci A, Coskun KK, Elmaci I. Diagnosis and management of pituitary abscess: a case series and review of the literature. Turk Neurosurg 2013, 23:611-16.
7.Dalan R, Leow MK. Pituitary abscess: our experience with a case and a review of the literature. Pituitary 2008;11:299-306.
8.Walia R, Bhansali A, Dutta P, Shanmugasundar G, Mukherjee KK, Upreti V, et al. An Uncommon cause of recurrent pyogenic meningitis: pituitary abscess. BMJ Case rep 2010.
9.Shuster A, Gunnarsson T, Sommer D, Miller E. Pituitary abscess: an unexpected diagnosis. Pediatr Radiol 2010;40:219-22.
10.Wilson E, Aboal C. Absceso intraselar primario. Arch Inst Neuro 2000; 3:102-5.
11.Vates GE, Berger M, Wilson C. Diagnosis and management of pituitary abscess: a review of twenty-four cases. J Neurosurg 2001;95:233-41.
12.Thomas N, Wittert GA, Scott G, Reilly PL. Infection of a Rathke´s cleft cyst: a rare cause of pituitary abscess. Case illustration. J Neurosurg 1998; 89:682.
13.Arseni C, Danaila L, Carp N, Hitescu Ghitescu M, Istrati C. Intrasellar Abscess. Neurochirurgia 1975; 18:207-13.
14.Becker GL, Jr, Knep S, Lance KP, Kaufman L. Amebic abscess of the brain. Neurosurgery 1980; 6:192-4.
15.Enzmann DR, Sieling RJ. CT of a pituitary abscess. AM J Roentgenol 1985;144:1141-2.
16.Bassard D, Himed A, Badet C. MRI and CT in a case of pituitary abscess. J Neurosurg 1992; 46:601-8.
17.Gatell JM, Esmajtes E, Serra C, Aymerich M, San Miguel JG. Diabetes insipidus and anterior pituitary dysfunction after staphylococcal meningitis and multiple brain abscesses. J Infect Dis 1982; 146 (1):102.
18.Zhu H, Gu XM, Hong J, Shen FX. Successful treatment of pituitary abscess with intravenous antibiotics: a case report and literature review. Genet Mol Res 2014; 13: 10523-28.