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Primary pituitary abscess Gland Mimicking Adenoma: A Rare Case Report

Open Journal of Modern Neurosurgery 2022年第3期12卷 167-174页

作者： Dimbi Jose Alingar Djimrabeye Mehdi Hakkou Adyl Melhaoui Abdessamad el Ouahabi Service de neurochirurgie de l’H?pital Des Spécialités Rabat Morocco Faculté de médecine et pharmacie Université Mohamed V Rabat Morocco

pituitary abscess gland is an uncommon lesion on sellar region. Clinical diagnosis is not easy to make and it is difficult to make difference from other pituitary lesions on clinical and sometimes on Neuroimaging. This pathology is characterized by vague symptoms, headaches, generalized tiredness and hypopituitarism manifestations. A 35-year-old woman was admitted to neurosurgery with complaints of headaches and blurred vision. MRI of the head revealed a suprasellar mass that was centrally hyperintense lesion on T2-weighted images with peripheral hypointensity. Treatment of the lesion of this lesion pituitary area through a transsphenoidal approach and spectrum antibiotic therapy with ceftriaxone metronidazole and vancomycin for 6 weeks. The patient continues to have pituitary insufficiency and is treated with oral hydrocortisone. After the diagnosis, the surgery and antibiotics should be commenced rapidly. Our aim is to report this rare case and to show how sometimes it is difficult to make diagnosis and clinical features vary mimicking other pituitary lesions before pre-operative and how to manage pituitary abscess gland. The outcome is usually good with proper treatment.

关键词： pituitary abscess Endoscopy Transsphenoidal Antibiotics

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Diabetes Insipidus as Initial Presentation of Rathke＇s Cleft Cyst

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Chinese Medical Journal 2017年第6期130卷 751-752页

作者： Cheng-Xian Yang Ming Feng Kan Deng Xiao-Hai Liu Xin-Jie Bao Ren-Zhi Wang Department of Neurosurgery Peking Union Medical College Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100730 China

To the Editor： A 56-year-old Chinese man was referred to Peking Union Medical College Hospital because of polydipsia （9000 ml/24 h） and polyuria （7000 ml/24 h） for over 20 days accompanied with intermittent moderate headache in frontal and temporal areas of both sides for about 2 weeks. The patient underwent a brain magnetic resonance imaging （MRI） with contrast in a local healthy facility, revealing that there was an irregular pituitary lesion measuring 1.1 cm× 1.4 cm× 2.2 cm. Apparently, the diagnosis of central diabetes insipidus （DI） was made, but the pituitary lesion remained to be elucidated. The patient received desmopressin acetate tablets （1.2 mg, q.n.） to ameliorate polydipsia （5000 ml/24 h） and polyuria （4000 ml/24 h）.

关键词： pituitary abscess

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