Abstract
Introduction
Pituitary abscess is a rare lesion of the pituitary gland that can cause morbidity and mortality in the absence of appropriate treatment. They are classified as primary and secondary pituitary abscesses. Primary pituitary abscesses occur in patients with no previous pituitary pathology. Secondary pituitary abscesses are detected in patients with existing pituitary pathologies.
Case presentation
We report a 16-year-old female patient with primary pituitary abscess who was misdiagnosed initially and treated as meningitis. Following the visual disturbances, pituitary abscess was diagnosed, and she underwent abscess drainage via endoscopic endonasal transsphenoidal surgery and antibiotic treatment.
Conclusion
Primary pituitary abscess can be clinically confused with other pathologies affecting the central nervous system. In order to avoid permanent sequelae in such patients, it should be kept in mind by physicians in similar cases. Satisfying results are obtained in these patients after appropriate treatment and dramatic improvement is achieved.
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References
Gao L, Guo X, Tian R, Wang Q, Feng M, Bao X, Deng K, Yao Y, Lian W, Wang R, Xing B (2017) Pituitary abscess: clinical manifestations, diagnosis and treatment of 66 cases from a large pituitary center over 23 years. Pituitary 20:189–194
Vates GE, Berger MS, Wilson CB (2001) Diagnosis and management of pituitary abscess: a review of twenty-four cases. J Neurosurg 95:233–241
Wang L, Yao Y, Feng F, Deng K, Lian W, Li G, Wang R, Xing B (2014) Pituitary abscess following transsphenoidal surgery: the experience of 12 cases from a single institution. Clin Neurol Neurosurg 124:66–71
Helsop TP (1848) A case of hypertrophy with abscess of the pituitary body. Dublin Quart J M 6:466–469
Altas M, Serefhan A, Silav G, Cerci A, Coskun KK, Elmaci I (2013) Diagnosis and management of pituitary abscess: a case series and review of the literature. Turk Neurosurg 23:611–616
Uchida Y, Tsuchimochi N, Oku M, Fujihara N, Shimono N, Okada K, Harada M (2008) Successful treatment of pituitary abscess with oral administration of sparfloxacin. Intern Med 47:1147–1151
Zhang X, Sun J, Shen M, Shou X, Qiu H, Qiao N, Zhang N, Li S, Wang Y, Zhao Y (2012) Diagnosis and minimally invasive surgery for the pituitary abscess: a review of twenty nine cases. Clin Neurol Neurosurg 114:957–961
Li Z, Yang C, Bao X, Yao Y, Feng M, Deng K, Liu X, Xing B, Wang R (2018) Clinical features and treatment of secondary pituitary abscess after transsphenoidal surgery: a retrospective study of 23 cases. World Neurosurg 113:e138–e145
Ciappetta P, Calace A, D’Urso PI, De Candia N (2008) Endoscopic treatment of pituitary abscess: two case reports and literature review. Neurosurg Rev 31:237–246
Dutta P, Bhansali A, Singh P, Kotwal N, Pathak A, Kumar Y (2006) Pituitary abscess: report of four cases and review of literature. Pituitary 9:267–273
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Oktay, K., Guzel, E., Yildirim, D.C. et al. Primary pituitary abscess mimicking meningitis in a pediatric patient. Childs Nerv Syst 37, 3241–3244 (2021). https://doi.org/10.1007/s00381-021-05063-5
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DOI: https://doi.org/10.1007/s00381-021-05063-5