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African Journal of Neurological Sciences
Pan African Association of Neurological Sciences
ISSN: 1015-8618
Vol. 16, No. 2, 1997
Bioline Code: ns97005
Full paper language: English
Document type: Research Article
Document available free of charge

African Journal of Neurological Sciences, Vol. 16, No. 2, 1997

 en Pituitary abcess

Abstract

PITUITARY ABSCESS

SEMPLE P., DE VILLIERS J.G.

Department of Neurosurgery, Groote Schuur Hospital- Cape Town South Africa

Code Number:NS97005

SUMMARY

MATERIALS AND METHODS

Pituitary abscess is a rare disease that remains very difficult to diagnose preoperatively even with newer imaging techniques such as CT - and MRI scanning. We describe four cases, of which only one was diagnosed pre-operatively. Pituitary abscess may present as meningitis in a patient with enlarged sella on skull x-rays. More commonly it is indistinguishable from a pituitary tumour both clinically and radiologically and the diagnosis comes as a surprise at surgery. Treatment is by transsphenoidal drainage, appropriate antibiotic and replacement therapy as indicated.

RESUME

Les abces hypophysaires sont rares et demeurent tres difficile a diagnostiquer en pre-operatoire, malgre les nouvelles techniques d'imagerie medicale comme le scanner et l'IRM. Nous avons decrit 4 cas parmi lesquels 1 seul a ete diagnostique en pre-operatoire. Les abces hypophysaires peuvent avoir les memes signes cliniques qu'une meningite chez les patients ayant une selle turcique elargie a la radiographic cranienne. Il est generalement tres difficile de differeneier a l'examert clinique et radiologique, les abees des tumeurs hypophysaires. Le diagnostic est souvent pose au cours de l'intervention chirurgieale. Le traitement consiste en un drainage transsphenoidal, une antibiotherapie appropriee, et une therapeutique de substitution selon le besoin.

Key words: Pituitary abscess, pituitary infection, transsphenoidal drainage.

Copyright 1997 Pan African Association of Neurological Sciences

 

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