Abstract
An abscess arising in a craniopharyngioma is rare, but has potentially high mortality
and morbidity. Diagnosis is difficult because clinical and neuroradiological characteristics
are not clearly defined. We report a patient with a pituitary abscess concomitant
with a craniopharyngioma and discuss the pathophysiological mechanism. We discuss
the previous five reports and suggest that abscesses with craniopharyngioma remain
challenging clinical entities. We speculate that inflammation is a response to components
of the ruptured epithelium of the cyst, thereby providing an explanation of the mechanism
of abscess formation.
Keywords
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References
- Uber embolishe Prozesse in der Hypophysis.Virchow’s Arch Pathol Anta. 1914; 217: 226-239
- Pituitary abscess: our experience with a case and a review of the literature.Pituitary. 2008; 11: 299-306
- Abscess formation with invasive pituitary adenoma.J Clin Neurosci. 2006; 13: 774-777
- Diagnosis and management of pituitary abscess: a review of twenty-four cases.J Neurosurgery. 2001; 95: 233-241
- Granulomatous change of the pituitary stalk caused by Rathke’s cleft cyst: a case report.No Shinkei Geka. 2003; 31: 1193-1196
- Les abces de l’hypophyse.Rev Oto-Neuro-Ophta. 1956; 128: 494-496
- Considerations sur les abces de l’hypophyse.Neuro-Chirurgie. 1965; 11: 366-371
- Pituitary abscess in a craniopharyngioma.J Neurosurg. 1972; 36: 785-789
- Intrasellar abscess.Neurochirurgia (Stuttg). 1975; 18: 207-213
- Salmonella typhi abscess in a craniopharyngioma: CT and MRI.Neuroradiology. 1994; 36: 35-36
- Pituitary abscess.J Clin Neurosci. 2006; 13: 1038-1041
- Endoscopic treatment of pituitary abscess: two case reports and literature review.Neurosurg Rev. 2008; 31: 237-246
- Case report: MRI and CT in a case of pituitary abscess.Clin Radiol. 1998; 53: 777-779
- CT and MRI findings in primitive pituitary abscess: a case report and review of literature.J Neuroradiol. 1999; 26: 196-199
- Magnetic resonance imaging and computerized tomography images in a case of pituitary abscess.J Endocrinol Investig. 2001; 23: 887-891
- Craniopharyngiomas.Endocr Rev. 2006; 27: 371-397
Article info
Publication history
Accepted:
January 4,
2009
Received:
August 19,
2008
Identification
Copyright
© 2009 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
