Suleiman Mohamad J, Bakri Faris G, Zak Imad, Salih Qussay, Musharabsh Awni, Hadidy Azmy, Kasasbeh Aiman, Nimri Caramella F, Shegem Nadima, Ajlouni Kamel
Department of Medicine, Jordan University Hospital, Amman, Jordan.
Neuro Endocrinol Lett. 2012;33(6):574-8.
Pituitary abscess is a rare condition. Here, we present the case of a young male patient who was initially found to have a pituitary lesion following the diagnosis of panhypopituitarism. Two years later, he presented with severe headache and was subsequently diagnosed intraoperatively with pituitary abscess. At a follow-up of 6 years after surgery, the patient was continuing to do very well. We discuss the differential diagnosis and demonstrate the evolution of the pituitary lesion on magnetic resonance imaging at four different time points: at the time of the detection of the initial lesion; two years later at the time of the diagnosis of the pituitary abscess; at 7 weeks post operatively; and finally after six years from the pituitary surgery.
垂体脓肿是一种罕见的病症。在此，我们报告一例年轻男性患者的病例，该患者最初在全垂体功能减退症诊断后被发现有垂体病变。两年后，他出现严重头痛，随后在手术中被诊断为垂体脓肿。术后6年的随访中，患者情况一直良好。我们讨论了鉴别诊断，并展示了垂体病变在四个不同时间点的磁共振成像演变情况：最初发现病变时；两年后诊断为垂体脓肿时；术后7周；最后是垂体手术后6年。
