Jadhav R N, Dahiwadkar H V, Palande D A
Department of Neurosurgery, Sir J.J. Group of Hospitals, Bombay, Byculla, India.
Neurosurgery. 1998 Sep;43(3):616-9. doi: 10.1097/00006123-199809000-00124.
Pituitary abscess is rare, with few cases of secondary pituitary abscess reported. To our knowledge, only 14 cases of pituitary adenomas with abscess have been reported, and this is the first report to include a magnetic resonance image of a pituitary adenoma with abscess.
A 22-year-old man presented with decreasing vision, headache, and vomiting. His higher functions were normal, with visual disturbance in both eyes. Computed tomographic scans and magnetic resonance images were suggestive of a sellar tumor with a cystic component.
A right pterional craniotomy was performed, and the tumor was debulked, revealing an abscess in the center. Postoperatively, the patient received a regimen of antibiotics.
Early surgical intervention plus follow-up antibiotic therapy are the mainstay of treatment for abscess formation in pituitary adenomas.
垂体脓肿较为罕见，继发性垂体脓肿的病例报道较少。据我们所知，仅有14例垂体腺瘤合并脓肿的病例报道，而本文是首例包含垂体腺瘤合并脓肿磁共振成像的报告。
一名22岁男性患者出现视力下降、头痛和呕吐症状。其高级功能正常，但双眼存在视觉障碍。计算机断层扫描和磁共振成像提示鞍区有一含囊性成分的肿瘤。
实施了右侧翼点开颅手术，对肿瘤进行了部分切除，发现中央有一个脓肿。术后，患者接受了抗生素治疗方案。
早期手术干预加后续抗生素治疗是垂体腺瘤脓肿形成的主要治疗方法。
