ISSN:
1432-1920
Keywords:
Aspergillosis
;
Pituitary abscess
;
Trans-sphenoidal surgery
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Sphenoidal aspergillosis is an unusual cause of sella turcica enlargement. Pituitary abscess secondary to Aspergillus had been reported. In the present case, a woman with sphenoid sinus aspergillosis mimicked a pituitary tumor. This patient survived her infection with intact pituitary function following a transsphenoidal approach. No postoperative amphotericine-B and 5-fluorocytosine were necessary. CT scan revealed a mass occupying the sphenoid sinus extending to the sella turcica. Factors that should alert the clinican to the presence of a sphenoidal and pituitary abscess in a patient with sella turcica enlargement are prior episodes of sinusitis, meningitis and immunosuppression and, as in the present case, hyperglycemia.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00344187
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