Document Detail


Pituitary abscesses. Report of seven cases and review of the literature.
MedLine Citation:
PMID:  845649     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seven cases of pituitary abscess are presented and the relevant world literature is reviewed. An enlarged sella co-existing with bacterial meningitis, or bacterial meningitis coinciding with a known or suspected pituitary tumor should suggest the diagnosis of pituitary abscess. Visual field defects should evoke similar suspicion when present in a patient with meningitis. This reasoning enabled us to make the first reported preoperative diagnosis of pituitary abscess. Therefore, in the management of purulent meningitis, we recommend the following: first, skull films are mandatory; second if the sella turcica is abnormal, the correct presumptive diagnosis is pituitary abscess; and third, if prompt improvement does not follow appropriate antibiotic therapy, the suspected abscess should be explored and drained via the transsphenoidal approach.
Authors:
J N Domingue; C B Wilson
Related Documents :
7116239 - Epidural hematoma: report of seven cases with delayed evolution of symptoms.
8050319 - Hepatic abscess caused by salmonella typhi. a case report and review of the literature.
3982619 - Posttraumatic acute arterial subdural hematoma manifested during anesthesia.
19766429 - Lactobacillus rhamnosus hepatic abscess associated with mirizzi syndrome: a case report...
2655669 - Upper airway obstruction secondary to warfarin-induced sublingual hematoma.
17543019 - Intracranial empyema: literature review and two novel cases in cats.
8014539 - Wild platypus attack in the antipodes. a case report.
10485519 - A review of selected seafood poisonings.
19492219 - Evidence-based pain management and palliative care in issue one for 2009 of the cochran...
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  46     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1977 May 
Date Detail:
Created Date:  1977-05-25     Completed Date:  1977-05-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  601-8     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abscess / diagnosis*,  physiopathology
Adolescent
Adult
Aged
Child
Female
Humans
Male
Pituitary Diseases / diagnosis*,  physiopathology
Visual Fields

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  On the origin and nature of the pituitary gland capsule.
Next Document:  Terminal ventriculostomy for syringomyelia.