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首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Abscess formation within invasive pituitary adenoma.
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Abscess formation within invasive pituitary adenoma.

机译：浸润性垂体腺瘤内脓肿形成。

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摘要

Pituitary abscess secondary to an adenoma is rare. To date, only 19 cases have been reported. This is the first report of a patient who presented with bilateral total ophthalmoplegia. A 59-year-old male patient presented with headache, nausea, vomiting, decreasing visual acuity, diplopia and bilateral ophthalmoplegia with ptosis. Magnetic resonance imaging was suggestive of a pituitary abscess with adenoma. Transphenoidal surgery was performed and, during debulking of the tumour, the abscess was seen and excised. After the operation, the patient received antibiotic therapy and his neurological condition improved. Pituitary abscess with adenoma is a serious condition that has a high mortality rate. Therefore, early diagnosis and surgical intervention with antibiotic therapy are necessary.
机译：继发于腺瘤的垂体脓肿很少见。迄今为止，仅报告了19例。这是双侧完全性眼肌麻痹患者的首次报道。一名59岁的男性患者出现头痛，恶心，呕吐，视力下降，复视和双侧眼肌麻痹伴下垂。磁共振成像提示垂体脓肿伴腺瘤。进行了经蝶窦手术，在肿瘤消灭期间，看到并切除了脓肿。术后，患者接受了抗生素治疗，神经系统状况得到改善。腺瘤垂体脓肿是一种严重的疾病，死亡率很高。因此，需要早期诊断和采用抗生素治疗的手术干预。

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