Neuroradiology

, Volume 31, Issue 4, pp 362–363 | Cite as

Aspergillosis of the sphenoid sinus simulating a pituitary tumor

  • J. Larrañaga
  • J. Fandino
  • J. Gomez-Bueno
  • D. Rodriguez
  • J. Gonzalez-Carrero
  • C. Botana
Case Reports

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

Aspergillosis Pituitary abscess Trans-sphenoidal surgery 

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Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • J. Larrañaga
    • 2
  • J. Fandino
    • 1
  • J. Gomez-Bueno
    • 1
  • D. Rodriguez
    • 3
  • J. Gonzalez-Carrero
    • 4
  • C. Botana
    • 1
  1. 1.Service of NeurosurgeryHospital GeneralVigoSpain
  2. 2.Service of MedicineHospital GeneralVigoSpain
  3. 3.Service of NeuroradiologyHospital GeneralVigoSpain
  4. 4.Service of PathologyHospital GeneralVigoSpain

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