https://scholars.lib.ntu.edu.tw/handle/123456789/476172
標題: | Pituitary abscess | 作者: | Su Y.-H. Chen Y. SHENG-HONG TSENG |
關鍵字: | Pituitary abscess; Pituitary tumour | 公開日期: | 2006 | 卷: | 13 | 期: | 10 | 起(迄)頁: | 1038-1041 | 來源出版物: | Journal of Clinical Neuroscience | 摘要: | Pituitary abscess is a rare disease, but one with potentially high mortality and morbidity. We present a 46-year-old man with progressive visual disturbance and general malaise for 1 year. Endocrine studies revealed hypopituitarism, and magnetic resonance imaging revealed a pituitary lesion with suprasellar extension. We attempted to excise the lesion using a transsphenoidal approach, but pus in the pituitary fossa was found at operation, and no tumour was identified. The culture yielded coagulase-negative Staphylococcus. Antibiotics were administered for 3 weeks, and the patient made a good postoperative recovery. He required life-long hormone replacement therapy. After one and a half years of follow-up, he was well and had no evidence of focal or systemic infection. We review the literature regarding pituitary abscess and discuss the appropriate treatment and possible pathological mechanism. ? 2006 Elsevier Ltd. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33750992166&doi=10.1016%2fj.jocn.2005.12.033&partnerID=40&md5=6bb2830d35e5cda7a10c252b1e1b92fa https://scholars.lib.ntu.edu.tw/handle/123456789/476172 |
ISSN: | 0967-5868 | DOI: | 10.1016/j.jocn.2005.12.033 | SDG/關鍵字: | antibiotic agent; corticosteroid; desmopressin; teicoplanin; thyroid hormone; vancomycin; abscess; adult; article; case report; diabetes insipidus; drug hypersensitivity; follow up; headache; hormone substitution; human; hypophysis; hypopituitarism; laboratory test; libido disorder; malaise; male; nuclear magnetic resonance imaging; optic nerve disease; priority journal; pus; sella turcica; skin toxicity; Staphylococcus; visual disorder; Anti-Bacterial Agents; Brain Abscess; Central Nervous System Bacterial Infections; Hormone Replacement Therapy; Humans; Hypopituitarism; Magnetic Resonance Imaging; Male; Middle Aged; Neurosurgical Procedures; Pituitary Diseases; Pituitary Gland; Sella Turcica; Staphylococcal Infections; Treatment Outcome; Vision Disorders |
顯示於: | 醫學系 |
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