Surgical treatment of an abscess in a rathke's cleft cyst

Sonntag, Volker K. H.; Plenge, Kathern L.; Balis, Michael S.; Raudzens, Peter A.; Hodak, J A; Clark, R. J. H.; Waggener, John D.

doi:10.1016/0090-3019(83)90468-8

Cited by 20 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our case represents a primary pituitary abscess seen in adolescence, without an identifiable source of infection. Often, a prevalent pituitary lesion may prone to intra-sellar infection; in children, such lesions are represented by pituitary adenomas, Rathke's cleft cysts [20][21][22][23][24][25][26], craniopharyngiomas [27,28] or Wegener's granulomatosis [29]. On the other hand, primary pituitary abscess was seldom described within normal pituitary gland in both children [5,6] and adults [3,29,30].…”

Section: Discussionmentioning

confidence: 99%

Primary pituitary abscess followed by empty sella syndrome in an adolescent girl

Pepene¹,

Ilie²,

Mihu³

et al. 2008

Pituitary

View full text Add to dashboard Cite

Primary pituitary abscess is a rare pituitary pathology, particularly at a young age and is characterized by atypical clinical features making the diagnosis difficult. Correct diagnosis and therapy are mandatory due to the potentially lethal outcome of pituitary infection. We report the case of an adolescent girl presenting with headache, diabetes insipidus and central thyro-gonadic insufficiency with no history of infection, in whom the intra-operative diagnosis of primary pituitary abscess was made. Bacterial cultures indicated infection with Streptococcus spp. One year after neurosurgery and antibiotic therapy, recovery of diabetes insipidus and pituitary insufficiency was documented except for persistence of subnormal growth hormone secretion. Post-surgery, pituitary magnetic resonance imaging revealed an empty sella syndrome.

show abstract

Section: Discussionmentioning

confidence: 99%

Primary pituitary abscess followed by empty sella syndrome in an adolescent girl

Pepene¹,

Ilie²,

Mihu³

et al. 2008

Pituitary

View full text Add to dashboard Cite

show abstract

“…Abscess formation within a RCC is an extremely rare occurrence with only 6 other cases reported in the English literature [1, 4, 7, 12, 13]all occurring in adults. Three other cases have been reported in the non-English literature [3, 5, 9].…”

Section: Discussionmentioning

confidence: 99%

“…Three other cases have been reported in the non-English literature [3, 5, 9]. Four patients presented with fever [5, 7, 9, 12]. Seven patients demonstrated some or all the features typical of a symptomatic RCC [2], with longstanding endocrine disturbance, headache and visual impairment, and in 1 patient the abscess developed within an asymptomatic RCC [5].…”

Section: Discussionmentioning

confidence: 99%

“…Abscess contents were sterile in at least three reports [4, 9, 12]although in one, Gram-negative rods were identified [12]. Concerning the various organisms that have been isolated ( A. lwoffii, Staphylococcus epidermidis [7], Staphylococcus aureus and Streptococcus pyogenes [1]), these neither offer any clue as to a common source of infection, nor do they contribute toward understanding the mechanism for infecting a RCC.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Rathke’s Cleft Cyst Abscess

et al. 2000

View full text Add to dashboard Cite

show abstract

“…2,3,[7][8][9][12][13][14]16,17,19,[21][22][23][24]26) Twelve patients were female, seven were male, and the mean age of these patients was 44.1 years (range 12-69 years). Three were pediatric cases.…”

Section: Discussionmentioning

confidence: 99%

Pituitary Abscess Manifesting as Meningitis and Photophobia Associated With Rathke's Cleft Cyst in a Child -Case Report-

Uchiyama

Sakai

Asanuma

et al. 2011

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 12-year-old girl presented with complaints of headache, lethargy, photophobia, and fever. Cerebrospinal fluid examination revealed bacterial meningitis. Magnetic resonance (MR) imaging showed a cystic lesion with peripheral enhancement in the pituitary fossa. The patient underwent transnasaltranssphenoidal surgery (TSS). The diagnosis was pituitary abscess associated with Rathke's cleft cyst. Postoperatively, the patient recovered rapidly. However, recurrence of the pituitary abscess causing meningitis occurred four times and required repeated TSS. She had diabetes insipidus and received hormone replacement. This case requiring repeated emergency surgeries shows that follow-up examinations including MR imaging and pituitary endocrine evaluation are necessary because the rate of recurrence is high in patients with pituitary abscess associated with Rathke's cleft cyst.

show abstract

Surgical treatment of an abscess in a rathke's cleft cyst

Cited by 20 publications

References 22 publications

Primary pituitary abscess followed by empty sella syndrome in an adolescent girl

Primary pituitary abscess followed by empty sella syndrome in an adolescent girl

Rathke’s Cleft Cyst Abscess

Pituitary Abscess Manifesting as Meningitis and Photophobia Associated With Rathke's Cleft Cyst in a Child -Case Report-

Contact Info

Product

Resources

About