Tags

Type your tag names separated by a space and hit enter

Diagnosis and minimally invasive surgery for the pituitary abscess: a review of twenty nine cases.
Clin Neurol Neurosurg. 2012 Sep; 114(7):957-61.CN

Abstract

OBJECTIVE

This study aimed to better determine the salient signs and symptoms for diagnosis of a pituitary abscess as well as the determination of the most appropriate treatment.

METHODS

A retrospective analysis was performed using clinical presentations, imaging features, diagnosis and treatment of 29 patients with pituitary abscess in our hospital.

RESULTS

We made the correct diagnosis of pituitary abscess before surgery only in 2 cases (13.3%) out of 15 patients between January 2004 and January 2008. While 12 cases (85.7%) out of 14 patients were correctly diagnosed before surgery between January 2008 and June 2010. All of the patients underwent transnasal-transsphenoidal surgery assisted by the microscope or endoscope. The antibiotic therapy and hormonal replacement were routinely administrated. The postoperative courses were uneventful and all symptoms of the patients were gradually improved one week to six months after surgery. None of the 29 cases were recurrent during the follow-up.

CONCLUSION

With the increased clinical experience, the correct diagnosis rate of pituitary abscess before surgery has been greatly improved in recent three years. The microsurgical drainage, proper antibiotics and hormonal replacement are the keys to the treatment of pituitary abscess.

Links

Publisher Full Text
Aggregator Full Text

Authors+Show Affiliations

Zhang X
Department of Neurosurgery, HuaShan Hospital, Shanghai Medical College, FuDan University, 12 Wulumuqi Zhong Road, Shanghai 200040, China.
Sun J
No affiliation info available
Shen M
No affiliation info available
Shou X
No affiliation info available
Qiu H
No affiliation info available
Qiao N
No affiliation info available
Zhang N
No affiliation info available
Li S
No affiliation info available
Wang Y
No affiliation info available
Zhao Y
No affiliation info available

MeSH

AdultAgedBrain AbscessDiabetes Insipidus, NeurogenicFemaleFeverFollow-Up StudiesHeadacheHumansHypopituitarismMaleMiddle AgedMinimally Invasive Surgical ProceduresNasal CavityNeurosurgical ProceduresPituitary DiseasesPituitary Function TestsPituitary HormonesRetrospective StudiesSphenoid BoneTomography, X-Ray ComputedTreatment OutcomeVision DisordersYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22402201

Citation

Zhang, Xiaoluo, et al. "Diagnosis and Minimally Invasive Surgery for the Pituitary Abscess: a Review of Twenty Nine Cases." Clinical Neurology and Neurosurgery, vol. 114, no. 7, 2012, pp. 957-61.
Zhang X, Sun J, Shen M, et al. Diagnosis and minimally invasive surgery for the pituitary abscess: a review of twenty nine cases. Clin Neurol Neurosurg. 2012;114(7):957-61.
Zhang, X., Sun, J., Shen, M., Shou, X., Qiu, H., Qiao, N., Zhang, N., Li, S., Wang, Y., & Zhao, Y. (2012). Diagnosis and minimally invasive surgery for the pituitary abscess: a review of twenty nine cases. Clinical Neurology and Neurosurgery, 114(7), 957-61. https://doi.org/10.1016/j.clineuro.2012.02.020
Zhang X, et al. Diagnosis and Minimally Invasive Surgery for the Pituitary Abscess: a Review of Twenty Nine Cases. Clin Neurol Neurosurg. 2012;114(7):957-61. PubMed PMID: 22402201.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis and minimally invasive surgery for the pituitary abscess: a review of twenty nine cases. AU - Zhang,Xiaoluo, AU - Sun,Jie, AU - Shen,Ming, AU - Shou,Xuefei, AU - Qiu,Huijia, AU - Qiao,Nidan, AU - Zhang,Nan, AU - Li,Shiqi, AU - Wang,Yongfei, AU - Zhao,Yao, Y1 - 2012/03/07/ PY - 2011/08/14/received PY - 2011/12/24/revised PY - 2012/02/12/accepted PY - 2012/3/10/entrez PY - 2012/3/10/pubmed PY - 2012/12/10/medline SP - 957 EP - 61 JF - Clinical neurology and neurosurgery JO - Clin Neurol Neurosurg VL - 114 IS - 7 N2 - OBJECTIVE: This study aimed to better determine the salient signs and symptoms for diagnosis of a pituitary abscess as well as the determination of the most appropriate treatment. METHODS: A retrospective analysis was performed using clinical presentations, imaging features, diagnosis and treatment of 29 patients with pituitary abscess in our hospital. RESULTS: We made the correct diagnosis of pituitary abscess before surgery only in 2 cases (13.3%) out of 15 patients between January 2004 and January 2008. While 12 cases (85.7%) out of 14 patients were correctly diagnosed before surgery between January 2008 and June 2010. All of the patients underwent transnasal-transsphenoidal surgery assisted by the microscope or endoscope. The antibiotic therapy and hormonal replacement were routinely administrated. The postoperative courses were uneventful and all symptoms of the patients were gradually improved one week to six months after surgery. None of the 29 cases were recurrent during the follow-up. CONCLUSION: With the increased clinical experience, the correct diagnosis rate of pituitary abscess before surgery has been greatly improved in recent three years. The microsurgical drainage, proper antibiotics and hormonal replacement are the keys to the treatment of pituitary abscess. SN - 1872-6968 UR - https://www.unboundmedicine.com/medline/citation/22402201/Diagnosis_and_minimally_invasive_surgery_for_the_pituitary_abscess:_a_review_of_twenty_nine_cases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0303-8467(12)00103-5 DB - PRIME DP - Unbound Medicine ER -