Pituitary abscess misdiagnosed as pituitary adenoma stroke: Case report and literature review

ConclusionsIn retrospect, because of the rarity of pituitary abscess and the non-specific symptoms, it is difficult to make a diagnosis before surgery. A pituitary abscess can easily be misdiagnosed as a pituitary adenoma based on the similar clinical manifestations. Pituitary nuclear magnetic examination is the first choice for imaging and culture of the purulent drainage is the diagnostic gold standard. To thoroughly drain the pus, to wash operative region repeatedly with gentamicin saline that for avoiding the residual of the pus. And follow up so as to detect the suspicious pathogenetic condition in time. Adequate drainage and anti-infection are the preferred treatment (Kim et al., 2009 [2]).
Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research