Neuroradiology

, Volume 31, Issue 4, pp 362–363

Aspergillosis of the sphenoid sinus simulating a pituitary tumor

Authors

  • J. Larrañaga
    • Service of MedicineHospital General
  • J. Fandino
    • Service of NeurosurgeryHospital General
  • J. Gomez-Bueno
    • Service of NeurosurgeryHospital General
  • D. Rodriguez
    • Service of NeuroradiologyHospital General
  • J. Gonzalez-Carrero
    • Service of PathologyHospital General
  • C. Botana
    • Service of NeurosurgeryHospital General
Case Reports

DOI: 10.1007/BF00344187

Cite this article as:
Larrañaga, J., Fandino, J., Gomez-Bueno, J. et al. Neuroradiology (1989) 31: 362. doi:10.1007/BF00344187

Summary

Sphenoidal aspergillosis is an unusual cause of sella turcica enlargement. Pituitary abscess secondary to Aspergillus had been reported. In the present case, a woman with sphenoid sinus aspergillosis mimicked a pituitary tumor. This patient survived her infection with intact pituitary function following a transsphenoidal approach. No postoperative amphotericine-B and 5-fluorocytosine were necessary. CT scan revealed a mass occupying the sphenoid sinus extending to the sella turcica. Factors that should alert the clinican to the presence of a sphenoidal and pituitary abscess in a patient with sella turcica enlargement are prior episodes of sinusitis, meningitis and immunosuppression and, as in the present case, hyperglycemia.

Key words

AspergillosisPituitary abscessTrans-sphenoidal surgery

Copyright information

© Springer-Verlag 1989