Pituitary abscess in a pregnant woman

Hyo Chang Kim, Seok Gu Kang, Pil Woo Huh, Do Sung Yoo, Kyoung Suok Cho, Dal Soo Kim

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Abstract

Pituitary abscess is a rare and potentially lethal condition. Pituitary abscess in a pregnant woman has not been previously described. A 38-year-old pregnant woman (34 weeks gestation) with a pituitary mass complained of a progressive headache and sudden visual impairment. She was afebrile and had no inflammatory symptoms on admission. On MRI, the preoperative diagnosis was pituitary adenoma with sphenoid sinusitis. She underwent an uncomplicated transsphenoidal procedure for removal of the pituitary mass. The next day, labor commenced and a healthy preterm baby was delivered. Pathologic examination of the intrasellar mass showed polymorphonuclear cells, debris and no tumor cells. The sellar contents were cultured and Streptococcus viridans was grown. To our knowledge this is the first case of pituitary abscess reported during pregnancy. Although the patient was pregnant, the transsphenoidal approach was safe for the mother and the fetus. Surgical drainage and antibiotic therapy are required for the definitive treatment of this condition.

Original languageEnglish
Pages (from-to)1135-1139
Number of pages5
JournalJournal of Clinical Neuroscience
Volume14
Issue number11
DOIs
Publication statusPublished - 2007 Nov 1

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

Cite this

Kim, H. C., Kang, S. G., Huh, P. W., Yoo, D. S., Cho, K. S., & Kim, D. S. (2007). Pituitary abscess in a pregnant woman. Journal of Clinical Neuroscience, 14(11), 1135-1139. https://doi.org/10.1016/j.jocn.2006.03.012