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Titolo:
INTRASELLAR ABSCESS FOLLOWING TRANSSPHENOIDAL SURGERY
Autore:
HENEGAR MM; KOBY MB; SILBERGELD DL; RICH KM; MORAN CJ;
Indirizzi:
WASHINGTON UNIV,EPILEPSY PROGRAM,DEPT NEUROL SURG,CAMPUS BOX 8057,660S EUCLID AVE ST LOUIS MO 63110 WASHINGTON UNIV,EPILEPSY PROGRAM,DEPT NEUROL SURG ST LOUIS MO 63110 WASHINGTON UNIV,MALLINCKRODT INST RADIOL,DIV NEURORADIOL ST LOUIS MO 63110
Titolo Testata:
Surgical neurology
fascicolo: 2, volume: 45, anno: 1996,
pagine: 183 - 188
SICI:
0090-3019(1996)45:2<183:IAFTS>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
PITUITARY ABSCESS; CT; LESIONS; MRI;
Keywords:
ABSCESS; INTRASELLAR ABSCESS; PITUITARY SURGERY; TRANSSPHENOIDAL SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
24
Recensione:
Indirizzi per estratti:
Citazione:
M.M. Henegar et al., "INTRASELLAR ABSCESS FOLLOWING TRANSSPHENOIDAL SURGERY", Surgical neurology, 45(2), 1996, pp. 183-188

Abstract

BACKGROUND Intrasellar abscess following transsphenoidal surgery has been described only twice in the English language medical literature. Overall mortality associated with intrasellar abscesses is 51%, while mortality in reported cases not treated surgically is 100%. METHODS Two cases of intrasellar abscess following uncomplicated transsphenoidalsurgery for pituitary pathology are reported. The incidence, radiographic features clinical presentations, and treatment of intrasellar abscesses are discussed. RESULTS Both patients described underwent uncomplicated transsphenoidal procedures for treatment of a primary pituitary lesion. Neither developed postoperative CSF rhinorrhea, and initial recovery was uneventful. The first patient presented with new symptomsseveral weeks after transsphenoidal surgery; the second patient almost two years postoperatively. The first displayed signs of an expandingsellar mass, requiring transsphenoidal drainage and postoperative antibiotics. The second presented with recurrent meningitis without discernible CSF leak, and was treated with transnasal endoscopic drainage in conjunction with antibiotic therapy. CONCLUSIONS The high mortality associated with intrasellar abscess mandates its inclusion in the differential diagnosis of patients presenting with symptoms of meningitis or an expanding sellar mass after transsphenoidal intervention. Although antibiotic therapy is an important adjunct, surgical drainage is required for definitive treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 06:13:09