雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

Neurological Surgery No Shinkei Geka Volume 24, Issue 4 （April 1996）

Neurological Surgery 脳神経外科 24巻4号（1996年4月発行）

Japanese English

症例

原発性下垂体膿瘍の1例 Primary pituitary abscess:a case report 杉本信吾 ^1,2 , 近藤博昭 ¹ , 山田弘 ² Shingo SUGIMOTO ^1,2 , Hiroaki KONDO ¹ , Hiromu YAMADA ² ¹羽島市民病院脳神経外科 ²岐阜大学脳神経外科 ¹Department of Neurosurgery, Hashima Shimin Hospital ²Department of Neurosurgery, Gifu University School of Medicine キーワード： pituitary abscess , MRI , pituitary tumor Keyword: pituitary abscess , MRI , pituitary tumor pp.343-346

発行日 1996年4月10日 Published Date 1996/4/10

DOI https://doi.org/10.11477/mf.1436901191

PDF(5717KB)

有料閲覧

Abstract 文献概要
1ページ目 Look Inside

I．はじめに

　下垂体膿瘍は，耳鼻科的疾患や敗血症などから二次的に波及して起こるものが多く，本症例のように，原因病巣の認められない下垂体膿瘍は稀である．

　今回われわれは原発性下垂体膿瘍と診断された1例を経験したので，若干の文献的考察を加えて報告する．

We reported a rare case of primary pituitary abscess.

A 53-year-old female was admitted to our hospital with headache and visual field defect. CT and MRI de-monstrated an intrasellar cystic mass and suprasellar solid mass. Intrasellar cystic mass had peripheral en-hancement. Suprasellar solid mass had homogeneous enhancement.

Transsphenoidal surgery was performed. A purulent material was aspirated from the intrasellar region. His-tological examination of the purulent material revealed an infiltration of inflammatory cells and pituitary cells. There were no tumor components or epithelium.

The postoperative course was uneventful. The pa-tient was discharged from our hospital without neurolo-gical deficits. Two years after surgery, she still has no neurological deficits and no recurrence of intra-and sup-rasellar mass on MR image.