Pituitary abscess: report of two cases and review of the literature

Yu Liu,1 Feng Liu,2 Qi Liang,3 Yexin Li,4 Zhifei Wang5 1Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, 2Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, 3Department of Radiology, The Third Xiangya Hospital, Cent...

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Autores principales:	Liu Y, Liu F, Liang Q, Li Y, Wang ZF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	pituitary abscess transsphenoidal resection antibiotic therapy diagnosis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/7e933491608c436d81fdef3b5a18a2f7
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spelling	oai:doaj.org-article:7e933491608c436d81fdef3b5a18a2f72021-12-02T01:02:08ZPituitary abscess: report of two cases and review of the literature1178-2021https://doaj.org/article/7e933491608c436d81fdef3b5a18a2f72017-06-01T00:00:00Zhttps://www.dovepress.com/pituitary-abscess-report-of-two-cases-and-review-of-the-literature-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Yu Liu,1 Feng Liu,2 Qi Liang,3 Yexin Li,4 Zhifei Wang5 1Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, 2Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, 3Department of Radiology, The Third Xiangya Hospital, Central South University, Changsha, 4Department of Neurosurgery, The Central Hospital of Shaoyang, Shaoyang, 5Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China Abstract: Pituitary abscess is a rare but critical disorder caused by an infectious process where purulent material accumulates inside the sella turcica. Since symptoms, signs and radiographic characteristics of pituitary abscess are similar to several other pituitary lesions, correct diagnosis before surgery is challenging. In this article, two cases of pituitary abscess treated in our department are reported, followed by a literature review. In these two cases, both patients presented with intermittent fever. Magnetic resonance imaging revealed a suprasellar lesion with rim enhancement after contrast injection. After transsphenoidal surgery, the diagnosis of pituitary abscess was confirmed. The patients were then given antibiotic treatment and recovered fully in less than 2 months. Findings of this article support timely diagnosis and proper treatment including transsphenoidal surgery and antibiotic therapy for pituitary abscess, leading to lower mortality rates and higher probability of pituitary hormone function recovery. Keywords: pituitary abscess, transsphenoidal resection, antibiotic therapy, diagnosis Liu YLiu FLiang QLi YWang ZFDove Medical Pressarticlepituitary abscesstranssphenoidal resectionantibiotic therapydiagnosisNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 1521-1526 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	pituitary abscess transsphenoidal resection antibiotic therapy diagnosis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	pituitary abscess transsphenoidal resection antibiotic therapy diagnosis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Liu Y Liu F Liang Q Li Y Wang ZF Pituitary abscess: report of two cases and review of the literature
description	Yu Liu,1 Feng Liu,2 Qi Liang,3 Yexin Li,4 Zhifei Wang5 1Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, 2Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, 3Department of Radiology, The Third Xiangya Hospital, Central South University, Changsha, 4Department of Neurosurgery, The Central Hospital of Shaoyang, Shaoyang, 5Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China Abstract: Pituitary abscess is a rare but critical disorder caused by an infectious process where purulent material accumulates inside the sella turcica. Since symptoms, signs and radiographic characteristics of pituitary abscess are similar to several other pituitary lesions, correct diagnosis before surgery is challenging. In this article, two cases of pituitary abscess treated in our department are reported, followed by a literature review. In these two cases, both patients presented with intermittent fever. Magnetic resonance imaging revealed a suprasellar lesion with rim enhancement after contrast injection. After transsphenoidal surgery, the diagnosis of pituitary abscess was confirmed. The patients were then given antibiotic treatment and recovered fully in less than 2 months. Findings of this article support timely diagnosis and proper treatment including transsphenoidal surgery and antibiotic therapy for pituitary abscess, leading to lower mortality rates and higher probability of pituitary hormone function recovery. Keywords: pituitary abscess, transsphenoidal resection, antibiotic therapy, diagnosis
format	article
author	Liu Y Liu F Liang Q Li Y Wang ZF
author_facet	Liu Y Liu F Liang Q Li Y Wang ZF
author_sort	Liu Y
title	Pituitary abscess: report of two cases and review of the literature
title_short	Pituitary abscess: report of two cases and review of the literature
title_full	Pituitary abscess: report of two cases and review of the literature
title_fullStr	Pituitary abscess: report of two cases and review of the literature
title_full_unstemmed	Pituitary abscess: report of two cases and review of the literature
title_sort	pituitary abscess: report of two cases and review of the literature
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/7e933491608c436d81fdef3b5a18a2f7
work_keys_str_mv	AT liuy pituitaryabscessreportoftwocasesandreviewoftheliterature AT liuf pituitaryabscessreportoftwocasesandreviewoftheliterature AT liangq pituitaryabscessreportoftwocasesandreviewoftheliterature AT liy pituitaryabscessreportoftwocasesandreviewoftheliterature AT wangzf pituitaryabscessreportoftwocasesandreviewoftheliterature
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Pituitary abscess: report of two cases and review of the literature

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