Document Detail

Pituitary abscesses. Report of seven cases and review of the literature.
MedLine Citation:
PMID:  845649     Owner:  NLM     Status:  MEDLINE    
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.
J N Domingue; C B Wilson
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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    
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MeSH Terms
Abscess / diagnosis*,  physiopathology
Pituitary Diseases / diagnosis*,  physiopathology
Visual Fields

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

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