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DOI: 10.4103/2277-9167.124242
Pituitary abscess during pregnancy: Management dilemmas
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Publication History
Publication Date:
18 January 2017 (online)
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Abstract
Pituitary abscess is a rare disorder and only one case of pituitary abscess in pregnancy has been reported in the literature. Since, its presenting manifestations are non-specific; the diagnosis is usually made per-operatively. A 35-year-old pregnant lady, with a sellar mass was managed successfully with trans-sphenoidal drainage of the abscess and antibiotic therapy. We discuss the unique set of problems faced in diagnosis and management. Choice of antibiotics, management of intra-operative cerebrospinal fluid leak and absence of any growth on cultures made the overall management challenging. Although, it can present with a dramatic course suggestive of central nervous system infection or a pituitary mass, but more often it mimics an indolent lesion, which can pose as a diagnostic and therapeutic challenge.
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References
- 1 Moltich ME. Pituitary tumors and pregnancy. Growth Horm IGF Res 2003; 13 Suppl A S38-S44
- 2 Vates GE, Berger MS, Wilson CB. Diagnosis and management of pituitary abscess: A review of twenty-four cases. J Neurosurg 2001; 95: 233-241
- 3 Johnson Jr RJ, Voorhies RM, Witkin M, Robichaux 3rd AG, Broussard Jr WA. Fertility following excision of a symptomatic craniopharyngioma during pregnancy: Case report. Surg Neurol 1993; 39: 257-262
- 4 Bjerre P, Riishede J, Lindholm J. Pituitary abscess. Acta Neurochir (Wien) 1983; 68: 187-193
- 5 Blackett PR, Bailey JD, Hoffman HJ. A pituitary abscess simulating an intrasellar tumor. Surg Neurol 1980; 14: 129-131