Transient pituitary enlargement with central hypogonadism secondary to bilateral cavernous sinus thrombosis: pituitary oedema?
نویسندگان
چکیده
Design We report the case of an incidental pituitary mass discovered in the context of bilateral cavernous sinus thrombosis due to a bacterial pansinusitis. Conclusions Magnetic resonance imaging features of the pituitary lesion, together with transient central hypogonadism and total regression of the mass after anticoagulation and antimicrobial therapy, suggest that this lesion is a pituitary oedema of vascular mechanism. Other possible causes of pituitary mass in such a situation are also discussed.
منابع مشابه
Bilateral Carotid-Cavernous Fistulas: An Uncommon Cause of Pituitary Enlargement and Hypopituitarism
Carotid-cavernous fistulas (CCFs) are rare, pathologic communications of the carotid artery and the venous plexus of the cavernous sinus. They can develop spontaneously in certain at risk individuals or following traumatic head injury. Typical clinical manifestations include headache, proptosis, orbital pain, and diplopia. We report a case of bilateral carotid-cavernous fistulas associated with...
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BACKGROUND AND PURPOSE If venous congestion is the primary cause of pituitary gland enlargement in cases of dural arteriovenous fistulas (AVFs), other abnormal pituitary findings may be detectable on MR images. We sought to investigate the perfusion abnormality of the pituitary gland secondary to dural AVFs in the cavernous sinus and to clarify its clinical importance. METHODS Nine consecutiv...
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Weisman (1944) described a boy with a cavernous sinus thrombosis, probably secondary to an empyema of the lung, who died 24 days after the start 0 of his illness and was found to have pituitary necrosis probably due to infarction. Bouche, Guiot, Carrez, Cotin, and Comoy (1964) gave an account of four patients, all of whom had long histories of headache, who developed the clinical signs of caver...
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A 65-year-old woman with poorly controlled diabetes presented bilateral miosis, bilateral abducens nerve palsy, and left hemiparesis. On MRI, cavernous sinus thrombosis, subdural empyema and hemorrhagic infarction in the frontotemporal lobe were detected. Cerebral angiogram revealed filling defect in the cavernous sinus with venous congestion but no involvement of internal carotid artery. Postm...
متن کاملCavernous Sinus Thrombosis in Children: Imaging Characteristics and Clinical Outcomes.
BACKGROUND AND PURPOSE Cavernous sinus thrombosis (CST) is a rare life-threatening cerebrovascular disease known to cause carotid artery narrowing (CAN) and arterial ischemic stroke. The imaging features of CST and related complications have been reported in adults, but rarely in children. METHODS We performed a retrospective review of children with imaging confirmed CST from 2003 to 2014, de...
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عنوان ژورنال:
- European journal of endocrinology
دوره 160 5 شماره
صفحات -
تاریخ انتشار 2009