Morning glory syndrome associated with transsphenoidal encephalocele and panhypopituitarism.
نویسندگان
چکیده
ent diffusion coefficient (ADC), from necrotic tumors, which show a low diffusion signal with high ADC. The final diagnosis is usually histological after surgical drainage. Coagulase-negative Staphylococcus is the most commonly isolated microorganism. According to the different series, the ratio between Gram stain and positive cultures ranges from 0% to 64%, which may first be explained by the low activity of bacteria in pituitary abscesses, and second, by preoperative antibiotic therapy. The treatment of choice consists of transsphenoidal surgical drainage and antibiotic therapy for 3--6 weeks. However, conservative antibiotic therapy may be useful for early pituitary abscesses. Visual deficiencies usually improve after treatment, but endocrine deficiencies may persist and require permanent replacement therapy. The recurrence rate is low, but MRI monitoring is advisable in order to detect recurrent abscess. In conclusion, it can be said that preoperative diagnosis of pituitary abscess is difficult because of its insidious clinical signs and symptoms and poorly specific radiographic findings. Pituitary abscess should be suspected in a patient with a cystic sellar mass with ring-shaped enhancement, particularly when associated with clinical signs of infection and/or diabetes insipidus. Because of the low frequency of pituitary abscess, we would like to see a multicenter study with a larger patient sample being conducted, with the aim of furthering our understanding of this condition.
منابع مشابه
Basal encephalocele associated with morning glory syndrome: case report.
The basal encephaloceles refer to rare entities and they correspond to herniation of brain tissue through defects of skull along the cribiform plate or the sphenoid bone. A rare morning glory syndrome, with characteristic retinal defect has been reported in association with basal encephaloceles. Hypophysis hormonal deficiencies may occur. We accounted for a pituitary dwarfism with delayed diagn...
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1. Pierre-Filho Pde T, Limeira-Soares PH, Marcondes AM. Morning glory syndrome associated with posterior pituitary ectopia and hypopituitarism. Acta Ophthalmol Scand. 2004;82:89--92. 2. López-Lizárraga EP, Bolaños-Jiménez R, Treviño-Alanís MG, Rivera-Silva G. Morning glory syndrome. Gac Med Mex. 2011;147:70--1. 3. Tanimoto K, Onda S, Sawaki H, Hiraiwa T, Sano H, Ohnishi M, et al. Hypopituitaris...
متن کاملSpinal epidural abscess in a diabetic patient
1. Pierre-Filho Pde T, Limeira-Soares PH, Marcondes AM. Morning glory syndrome associated with posterior pituitary ectopia and hypopituitarism. Acta Ophthalmol Scand. 2004;82:89--92. 2. López-Lizárraga EP, Bolaños-Jiménez R, Treviño-Alanís MG, Rivera-Silva G. Morning glory syndrome. Gac Med Mex. 2011;147:70--1. 3. Tanimoto K, Onda S, Sawaki H, Hiraiwa T, Sano H, Ohnishi M, et al. Hypopituitaris...
متن کاملBasal encephalocele and morning glory syndrome.
Basal encephaloceles are often associated with other midline anomalies such as hypertelorism, broad nasal root, cleft lip, and cleft palate. Optic disc anomalies such as pallor, dysplasia, optic pit, coLoboma, and megalopapilla have been reported to occur in patients with basal encephalocele We report a case of a child with a sphenoethmoidal encephalocele and morning glory syndrome of the optic...
متن کاملCase Report: Hyperprolactinemia and growth hormone deficiency associated with Morning Glory Syndrome; with a
Morning Glory Syndrome (MGS) is a rare congenital malformation of the optic nerve that is caused by a failure of the closure of the choroidal embryonic fissure . The syndrome is usually seen in association with midline in utero cranial defects, such as transsphenoidal and basal encephaloceles. Although MGS usually presents as an isolated ocular finding, it can be associated with endocrinologic...
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ورودعنوان ژورنال:
- Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion
دوره 61 4 شماره
صفحات -
تاریخ انتشار 2014