Martines F, Scarano P, Chiappetta F, Gigli R
Divisione di Neurochirurgia, Ospedale San Camillo, Rome, Italy.
J Neurosurg Sci. 1996 Jun;40(2):135-8.
The pituitary abscess is a rare pathology which presents an high mortality and morbidity. The diagnosis of pituitary abscess has to be excluded in case of tumoral hypophyseal syndrome; a correct diagnosis leads to an early treatment and to a decreasing of the mortality and morbidity. Antibiotics have to be associated to neurosurgical treatment in order to reduce the pre- and post- operative infectious complications. A case of pituitary abscess is reported: the preoperative diagnosis has been based on the clinical symptoms (visual field defect and meningeal syndrome) and on the neuroradiological images (CT, MRI).
垂体脓肿是一种罕见的病理情况,具有较高的死亡率和发病率。在肿瘤性垂体综合征的情况下,必须排除垂体脓肿的诊断;正确的诊断可实现早期治疗并降低死亡率和发病率。抗生素必须与神经外科治疗联合使用,以减少术前和术后的感染并发症。本文报告了一例垂体脓肿病例:术前诊断基于临床症状(视野缺损和脑膜刺激征)以及神经放射学影像(CT、MRI)。