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Abstract: Pituitary abscesses are very uncommon. They are divided into primary, arising within a healthy gland, and secondary, observed with an underlying pre-existing lesion. Here we present the eighth case reported of a secondary abscess within a craniopharyngioma. A 59-year-old-woman presented with a 3-week history of headache, and fever. Physical examination was unremarkable. An Magnetic Resonance Imaging (MRI) showed a pituitary lesion suggestive of a chronic inflammatory process. She was diagnosed with lymphocytic meningitis with hypophysitis and she was treated with corticosteroids. Two months later she presented with headache and fever again. Control MRI showed enlargement of the pituitary lesion. Therefore, a transsphenoidal biopsy was performed. During the procedure, purulent material was released. Histological study demonstrated a craniopharyngioma and meningeal inflammation. Empiric antibiotics were started. Three months post-operatively, a follow-up MRI showed a suspect minimal residual mass. Secondary pituitary abscesses are rare. The key to successful management is a high index of suspicion. Transsphenoidal surgical evacuation plus antibiotics is the mainstay of treatment. Although most symptoms resolve, endocrinopathies improve only rarely.
Fuente: Neurocirugía, 2022, 33(2), 99-104
Editorial: Elsevier
Año de publicación: 2022
Nº de páginas: 6
Tipo de publicación: Artículo de Revista
DOI: 10.1016/j.neucir.2020.11.008
ISSN: 1130-1473,2340-6305,2529-8496
Url de la publicación: https://doi.org/10.1016/j.neucir.2020.11.008
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LÓPEZ GÓMEZ, PATRICIA
MATO MAÑAS, DAVID
BUCHELI PEÑAFIEL, CARLOS
ELOY MANUEL RODRIGUEZ RODRIGUEZ
PAZOS TORAL, FERNANDO ANTONIO
OBESO AGUERA, SERGIO
VIERA ARTILES, JAIME
YANGE ZAMBRANO, GEANELLA
MARCO DE LUCAS, ENRIQUE
MARTÍN LÁEZ, RUBÉN
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