PMID: 8607071Feb 1, 1996Paper

Intrasellar abscess following transsphenoidal surgery

Surgical Neurology
M M HenegarC J Moran

Abstract

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%. Two cases of intrasellar abscess following uncomplicated transsphenoidal surgery for pituitary pathology are reported. The incidence, radiographic features, clinical presentations, and treatment of intrasellar abscesses are discussed. 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 symptoms several weeks after transsphenoidal surgery; the second patient almost two years postoperatively. The first displayed signs of an expanding sellar 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. The high mortality associated with intrasellar abscess mandates its inclusion in the differential diagnosis of pati...Continue Reading

References

Dec 1, 1979·Neurosurgery·D S ZorubM T Lam
May 1, 1977·Journal of Neurosurgery·J N Domingue, C B Wilson
May 28, 1977·Neuroradiology·M A Rudwan
Jan 1, 1992·Clinical Neurology and Neurosurgery·S Ghosh, M J Chandy
May 1, 1991·Neurosurgery·M ScanariniL Alessio
Nov 1, 1989·Neurochirurgia·M DickobG Hoffmann
Jan 1, 1989·Neuroradiology·J LarrañagaC Botana
Jan 1, 1988·The Journal of Laryngology and Otology·W R GransdenS J Eykyn
Jun 1, 1988·Surgical Neurology·P M BlackG Candia
Jul 1, 1988·Journal of Neurosurgery·O H Del BruttoJ Sotelo
Sep 1, 1986·Reviews of Infectious Diseases·S A BergerG David
Jan 1, 1987·Neuroradiology·K SartorF J Hodges
Jun 1, 1985·AJR. American Journal of Roentgenology·T C FongS T Myles
May 1, 1973·Journal of Neurosurgery·J LindholmO Korsgaard
Jan 1, 1971·Neurochirurgia·H M AskenasyM Dujovny
Jun 1, 1983·Journal of Computer Assisted Tomography·F A Eames, J C Peters
Jan 1, 1983·Acta neurochirurgica·P BjerreJ Lindholm

❮ Previous
Next ❯

Citations

Sep 2, 2003·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Y KoS J Oh
Jan 10, 2002·Journal of Neurosurgery·G E VatesC B Wilson
Sep 28, 2007·Neurosurgical Review·Pasqualino CiappettaNicola De Candia
Nov 3, 2010·Clinical Endocrinology·Fuyi LiuRenzhi Wang
Mar 31, 2015·Pituitary·Kevin T HuangEdward R Laws
Oct 5, 2002·Arquivos de neuro-psiquiatria·Ricardo Alexandre HanelJoão Cândido Araújo
Jul 15, 2004·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Irma HernándezMoisés Mercado
Jan 16, 2007·Arquivos brasileiros de endocrinologia e metabologia·Máikel L ColliJorge L Gross

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.