Pituitary abscess in a patient with painless thyroiditis

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• 作者：Akira Matsuno ; Yoshio Ogino ; Haruko Katayama ; Tadashi Nagashima
• 关键词：pituitary abscess ; painless thyroiditis ; lymphocytic adenohypophysitis ; lymphocytic infundibuloneurohypophysitis ; transsphenoidal surgery
• 刊名：Journal of Clinical Neuroscience
• 出版年：2005
• 出版时间：February 2005
• 年：2005
• 卷：12
• 期：2
• 页码：190-193
• 全文大小：155 K

文摘

The preoperative diagnosis of pituitary abscess is difficult. The case of a 56-year-old man with a pituitary abscess and painless thyroiditis is presented. There has been no previous such report. The differential diagnosis includes pituitary abscess, lymphocytic adenohypophysitis or infundibuloneurohypophysitis, share clinical symptoms of panhypopituitarism and diabetes insipidus, and is of critical importance as the treatment of these conditions differ. The association with painless thyroiditis suggests a diagnosis of lymphocytic adenohypophysitis or infundibuloneurohypophysitis. However, the coincidence of pituitary abscess and painless thyroiditis was observed in our patient, and thus though rare, should be considered. Surgical exploration and histopathological examination are essential for the differential diagnosis of these diseases.