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Pituitary Abscess: A Case Report and Review of the Literature

腦下垂體膿瘍:病例報告

摘要


我們報告一位患有腦下垂體膿瘍之13歲女性,臨床上表現出頭痛、暈眩及左顳部視野偏盲。電腦斷層與磁振造影顯示出一蝶鞍內腫塊併有蝶鞍上突出,引起左視神經徑壓迫,此腫塊周邊壁呈現出強烈的顯影劑增強,在開刀前由影像學的診斷,強烈懷疑為腦下垂體膿瘍。經過開刀治療後,病人情況良好並定期在門診追蹤。

並列摘要


We present a 13-year-old patient with pituitary abscess, who suffered from vertigo, headache and left temporal hemianopsia. Intrasellar or suprasellar lesion was suspected clinically. The CT and MRI showed an intrasellar mass with left suprasellar extension, and marked peripheral wall enhancement was identified. A pituitary abscess or abscess formation in a pituitary tumor was impressed preoperatively. Primary pituitary abscess formation was confirmed by the trans-sphenoidal surgery. Enhanced CT and MRI could contribute to the pre-operative diagnosis.

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