뇌하수체 농양의 1예 보고
A Case of Pituitary Abscess
박경수, 황성남, 홍윤호,
소속 상세정보
박경수 ( )
서울대학교 의과대학 신경외과학교실
황성남 ( )
서울대학교 의과대학 신경외과학교실
홍윤호 ( )
서울대학교 의과대학 신경외과학교실
KMID : 0359819760050010073
Abstract
Abscess formation in the pituitary gland is very rare. The development of such a lesion is thought to be due to direct extension of adjacent infection or metastasis from remote lesion. It has been suggested by some authors that intrinsic lesions of the pituitary gland may-favor the development of infections. Tumors and postpartum necrosis of the pituitary gland are the lesions which easily undergo secondary infection. Recently we experienced a case of pituitary abscess.
A 27 years old housewife was admitted. to our hospital because of intermittent headache, constricted visual field and amenorrhea of. about °3 years´ duration. Clinical manifestations and diagnostic studies stfongly´suggested pituitary tumor. Upon surgery, abscess was found in the pituitary fossa. Direct smear of the aspirated material showed many polymorphous leukocytes. No microorganisms were detected on direct smear and in culture. Biopsy of the capsule demonstrated nonspecific inflammation of the pituitary gland. There developed transient polydipsia and polyuria postoperatively but soon disappeared under medication of Esidrex.
Our case of pituitary abscess is interesting in that it´s main symptoms developed after delivery, which suggests Sheehan´s syndrome followed by abscess formation.
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