Pituitary Abscess: a Report of Two Cases

Mbaye, Maguette; Thioub, Mbaye; Kessely, Yannick Canton; Tine, Ibrahima; Cisse, Mohamed El Hassimi; Thiam, Alioune Badara; Ba, Momar Code; Badiane, Seydou Boubakar

doi:10.29252/irjns.3.1.31

Volume 3, Issue 1 (6-2017) Iran J Neurosurg 2017, 3(1): 31-35 | Back to browse issues page

‎ 10.29252/irjns.3.1.31

Mendeley

Zotero

RefWorks

Mbaye M, Thioub M, Kessely Y C, Tine I, Cisse M E H, Thiam A B, et al . Pituitary Abscess: a Report of Two Cases. Iran J Neurosurg 2017; 3 (1) :31-35
URL: http://irjns.org/article-1-86-en.html

Pituitary Abscess: a Report of Two Cases

Maguette Mbaye ^*

¹, Mbaye Thioub²

, Yannick Canton Kessely³

, Ibrahima Tine⁴

, Mohamed El Hassimi Cisse³

, Alioune Badara Thiam²

, Momar Code Ba⁵

, Seydou Boubakar Badiane⁶

1- MD, Assistant Professor of Neurosurgery, Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal , maguette.mbaye8@gmail.com
2- MD, Assistant Professor of Neurosurgery, Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal
3- MD, Neurosurgeon, Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal
4- MD, Assistant Professor of Neurosurgery, Neurosurgery Unit, Hospital Principal, Dakar, Senegal
5- MD, Professor of Neurosurgery, Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal
6- MD, Professor of Neurosurgery, Head of Neurosurgery Clinic, Fann National University Hospital, Dakar, Senegal

Abstract: (5150 Views)

Background and Importance: Abscess of the hypophysis or pituitary adenoma is a very rare entity, and its preoperative diagnosis could be challenging. The clinical presentation is less specific, and despite the recent advancement in imaging, diagnosis before surgery is still difficult.

Case Presentation: We reported two cases of pituitary abscesses in patients aged 38 and 42 years. The first patient was managed for maxillary sinusitis associated with pituitary adenoma whose diagnosis was made following surgery. For the second patient, the diagnosis was proposed before surgery following an MRI which showed a ring enhancement lesion of the hypophysis. Both patients benefitted from surgery where one had sub-labial rhino-septal trans-sphenoidal approach and the other through endoscopic endonasal trans-sphenoidal approach. Both received intravenous broad spectrum antibiotics.

Conclusion: Post-operative evolution was good with control MRI showing complete disappearance of the sellar lesion. Early diagnosis and treatment improved the prognosis.

Keywords: Abscess, Hypophysis, Transphenoidal Approach

Full Text [PDF 819 kb] (3713 Downloads) | | Full Text (HTML) (1519 Views)

Type of Study: Case report | Subject: Gamma Knife Radiosurgery

References

1. Ciappetta P1, Calace A, D'Urso PI, De Candia N. Endoscopic treatment of pituitary abscess: two case reports and literature review. Neurosurg Rev. 2008;31:237–46. [DOI:10.1007/s10143-007-0096-2] [PMID]

2. Whalley N. Abscess formation in a pituitary adneoma. J NeurolNeurosurgPsychiat. 1952;15:66–7. [DOI:10.1136/jnnp.15.1.66] [PMID] [PMCID]

3. Dutta P and al. Pituitary abscess: Report of four cases and review of literature. Pituitary. 2006;9(2):67–273. [DOI:10.1007/s11102-006-8327-z]

4. Vates GE WC, Berger MS. Diagnosis and management of pituitary abscess: A review of twenty-four cases. J Neurosurg. 2001;95:233–41. [DOI:10.3171/jns.2001.95.2.0233] [PMID]

5. Altas M, Serefhan A, Silav G, Cerci A, Coskun KK, Elmaci I. Diagnosis and management of pituitary abscess: a case series and review of the literature. Turk Neurosurg. 2013;23. [DOI:10.5137/1019-5149.JTN.7443-12.2]

6. Kotil K BT. Primary Pituitary Abscess Mimicking an Adenoma: A Rare Entity. Turkish Journal of Endocrinology and Metabolism. 2004;3:125–7.

7. Domingue J.N., C.B. Wilson: Wilson: Pituitary abscesses. Report of seven cases and review of the literature. J Neurosurg. 1977;46:601–8. [DOI:10.3171/jns.1977.46.5.0601] [PMID]

8. Sautner D., W. Saeger, D.K. Lüdecke, V. Jansen, M.J.A. Puchner. Hypophysitis in surgical and autoptical specimens. Acta Neuropath. 1995;90:637–44. [DOI:10.1007/BF00318578] [PMID]

9. Jadhav RN PD, Dahiwadkar HV. Abscess formation in invasive pituitary adenoma case report. Neurosurgery. 1998;43:616–9. [DOI:10.1097/00006123-199809000-00124]

10. Metellus P. FG, O. Levrier. Abscess-like formation concomitant with pituitary adenoma in Cushing's disease : case report and pathological considerations. Br J Neurosurg. 2002;16:373–5. [DOI:10.1080/0268-869021000007605]

11. Bauduceau B, Dolz M, Mayaudon H, Dupuy O, Cosson E, Bordier L, Boyer B et Pernot P. Abcès hypophysaire : une affection rare et méconnue. Mise au point présentée lors des 25es journées françaises d'endocrinologie, nutrition et métabolisme – Paris, 25-26 novembre 2005 [Internet]. Available from: http://asso.orpha.net/AFDI/upload/file/Abceshypophysaire.doc

12. Takayasu T, Yamasaki F, Tominaga A, Hidaka T, Arita K, Kurisu K. A pituitary abscess showing high signal intensity on diffuision-weighted imaging. Neurosurg Rev. 2006;29:246–8. [DOI:10.1007/s10143-006-0021-0] [PMID]

13. Kroppenstedt SN, Liebig T, Mueller W, Graf KJ, Lanksch WR, Unterberg AW. Secondary abscess formation in pituitary adenoma after tooth extraction. JNeurosurg. 2001;94:335–8. [DOI:10.3171/jns.2001.94.2.0335]

14. Kuge A, Sato S, Takemura S, Sakurada K, Kondo R, Kayama T. Abscess formation associated with pituitary adenoma: A case report: Changes in the MRI appearance of pituitary adenoma before and after abscess formation. SurgNeurolInt. 2011;2. [DOI:10.4103/2152-7806.76140]

15. Nelson PB, Haverkos H, Martinez AJ, Robinson AG. Abscess formation within pituitary adenoma. Neurosurgery. 1983;12:331–3. https://doi.org/10.1097/00006123-198303000-00016 [DOI:10.1227/00006123-198303000-00016] [PMID]

16. Pasqualino C and al. Endoscopic treatment of pituitary abscess: two case reports and literature review. Neurosurg Rev. 2008 Apr;31(2):237–46. [DOI:10.1007/s10143-007-0096-2] [PMID]

17. Yen-Hao Su a, Yun Chen b, Sheng-Hong Tseng a. Pituitary abscess. Journal of Clinical Neuroscience. 2006;13:1038–41. [DOI:10.1016/j.jocn.2005.12.033] [PMID]

18. Iplikcioglu AC et al. Aspergillus pituitary abscess. Acta Neurochir (Wien). 2004;146:521–4. [DOI:10.1007/s00701-004-0256-x] [PMID]

Send email to the article author

Rights and Permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by: Yektaweb