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Digitale Medien

Aspergillosis of the sphenoid sinus simulating a pituitary tumor (1989)

Larrañaga, J. ; Fandino, J. ; Gomez-Bueno, J. ; [weitere]

Springer

Neuroradiology 31 (1989), S. 362-363

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Details

ISSN: 1432-1920

Schlagwort(e): Aspergillosis ; Pituitary abscess ; Trans-sphenoidal surgery

Quelle: Springer Online Journal Archives 1860-2000

Thema: Medizin

Notizen: 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.

Materialart: Digitale Medien

URL: http://dx.doi.org/10.1007/BF00344187

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