Diagnosis and treatment of pituitary abscess
10.3760/cma.j.issn.1673-4904.2010.17.010
- VernacularTitle:垂体脓肿的诊断与治疗
- Author:
Meiqin CAI
;
Hui WANG
;
Feng QIN
;
Wensheng LI
;
Cong LING
;
Zhenchao HUANG
;
Ying GUO
- Publication Type:Journal Article
- Keywords:
Diagnosis;
Pituitary abscess;
TranssphenoidM surgery;
Antibiotic
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(17):23-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical features and treatments of pituitary abscess.Method The clinical data of 6 patients with pituitary abscess were examed along with a review of the literature.Results Of 6 patients,headache was presented in 5 patients,hypopituitarism in 4 patients,visual disturbance and/or bitemporal hemianopsia in 4 patients and fever in 1 patient.MRI and CT images showed a cystic sellar lesion with ring enhancement in 5 patients.Preoperative diagnosis of pituitary abscess was made in 2 patients,pituitary adenomas in 3 patients and craniopharyngiomas in 1 patient.All cases were treated surgically by transsphenoidal approach in 5 patients and transscranial in 1 patient.Followed with postoperative antibiotics therapy for 3 weeks,the symptoms were improved postoperatively in all cases.Followed up 8 months to 10 years,1 patient who underwent craniotomy recurred and wag cured by via transsphenoidal surgery.Conclusions The pituitary abscess is easily misdiagnosed.The cystic pituitary lesion should be considered the possibility of pituitary abscess.Transsphenoidal surgery and proper perioperative antibiotics therapy are the keys to the treatment of pituitary abscess.
