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Pituitary abscess
Institution:1. Department of Neurosurgery, The Queen Elizabeth II Medical Centre, Verdun Street, Nedlands, WA, 6009, Australia;2. Division of Tissue Pathology, Western Australian Centre for Pathology and Medical Research, Locked Bag 2009, P.O. Nedlands, 6009, Australia;3. Department of Endocrinology and Diabetes, The Queen Elizabeth II Medical Centre, Verdun Street, Nedlands, WA, 6009, Australia;1. Division of Neurosurgery, Department of Surgery, BC Children''s Hospital, Vancouver, Canada;2. Division of Infectious Diseases, Department of Pediatrics, BC Children''s Hospital, Vancouver, Canada;1. Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York, USA;2. Department of Neurosurgery, Buffalo General Medical Center and Gates Vascular Institute, Kaleida Health, Buffalo, New York, USA;1. Division of Endocrinology, Diabetes, and Metabolism, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida;2. Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida;3. Department of Radiology, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida;4. Division of Endocrinology, Diabetes, and Metabolism, The University of Arizona College of Medicine at Phoenix, Phoenix, Arizona;5. Department of Medicine, The University of Arizona College of Medicine at Phoenix, Phoenix, Arizona;1. N.N. Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation;2. I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russian Federation
Abstract:A 28-year-old Caucasian woman presented with a 12 month history of secondary amenorrhoea, polyuria and polydipsia with fatigue and weight loss. Investigations revealed panhypopituitarism, diabetes insipidus, an intrasellar mass and papilloedema, thought to be due to benign intracranial hypertension. She was treated conservatively. However, a repeat magnetic resonance image showed enlargement of the pituitary mass with compression of the optic nerves. The pituitary abscess was drained by a transsphenoidal approach. Postoperatively the patient received antibiotics with no recurrence of the pituitary abscess.
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