Your browser doesn't support javascript.
loading
Brain abscess as the initial presentation of a macroprolactinoma: Case report
Rubio-Almanza, Matilde; Cámara-Gómez, Rosa; Merino-Torres, Juan Francisco; Ramos-Prol, Agustín; Pérez de San Román-Mena, Laila; Simal-Julián, Juan Antonio; Botella-Asunción, Carlos.
Affiliation
  • Rubio-Almanza, Matilde; Hospital Universitario y Politécnico La Fe. Department of Endocrinology. Valencia. Spain
  • Cámara-Gómez, Rosa; Hospital Universitario y Politécnico La Fe. Department of Endocrinology. Valencia. Spain
  • Merino-Torres, Juan Francisco; Hospital Universitario y Politécnico La Fe. Department of Endocrinology. Valencia. Spain
  • Ramos-Prol, Agustín; Hospital Universitario y Politécnico La Fe. Department of Endocrinology. Valencia. Spain
  • Pérez de San Román-Mena, Laila; Hospital Universitario y Politécnico La Fe. Department of Neurosurgery. Valencia. Spain
  • Simal-Julián, Juan Antonio; Hospital Universitario y Politécnico La Fe. Department of Neurosurgery. Valencia. Spain
  • Botella-Asunción, Carlos; Hospital Universitario y Politécnico La Fe. Department of Neurosurgery. Valencia. Spain
Neurocir. - Soc. Luso-Esp. Neurocir ; 26(1): 48-51, ene.-feb. 2015. ilus, tab
Article in English | IBECS | ID: ibc-133399
Responsible library: ES1.1
Localization: BNCS
RESUMEN
Los macroprolactinomas pueden ser invasivos e infiltrar la base del cráneo causando el posterior adelgazamiento que puede conducir a un defecto del hueso y una vía de entrada para patógenos. Describimos un varón de 34 años que ingresó en el hospital con cefalea, rigidez de nuca, diplopia y deterioro neurológico. Las imágenes de resonancia magnética nuclear mostraron dos abscesos bilaterales frontoparietales con trombosis venosa del seno y un adenoma hipofisario que se extendía desde la región supraselar, erosionando el suelo de la silla hacia el seno esfenoidal. El análisis hormonal mostró aumento del nivel de prolactina y descenso de los niveles de FSH, LH y testosterona. El paciente recibió tratamiento antibiótico y fue intervenido quirúrgicamente. El paciente desarrolló sordera central como déficit neurológico. Es recomendable incluir el adenoma hipofisario en el diagnóstico diferencial de la meningitis aunque su debut como abscesos intracraneales y trombosis del seno recto es extraordinario
ABSTRACT
Macroprolactinomas may behave invasively and infiltrate the skull base, causing a subsequent thinning that can also lead to a bone defect and a direct route of entry for pathogens. We describe the case of a 34-year-old male admitted to hospital with fever (38 ◦C), headache, stiffness in the neck, diplopia and neurological impairment. Brain magnetic resonance imaging showed two bilateral abscesses in the fronto-parietal areas with intracranial venous sinus thrombosis and a pituitary adenoma that extended from the suprasellar region, eroding the sellar floor into the sphenoid sinus. Laboratory hormone measurements showed increased levels of prolactin and low levels of FSH, LH and testosterone. The patient received antibiotic treatment and surgery was performed. The patient developed central deafness as a neurological deficit. It is advisable to include pituitary adenoma in the differential diagnosis of meningitis even though its onset as intracranial abscess and rectus sinus thrombosis is extremely rare
Subject(s)
Search on Google
Collection: National databases / Spain Health context: Neglected Diseases Health problem: Neglected Diseases / Zoonoses Database: IBECS Main subject: Brain Abscess / Prolactinoma / Neurosurgical Procedures / Meningitis Limits: Adult / Humans / Male Language: English Journal: Neurocir. - Soc. Luso-Esp. Neurocir Year: 2015 Document type: Article Institution/Affiliation country: Hospital Universitario y Politécnico La Fe/Spain
Search on Google
Collection: National databases / Spain Health context: Neglected Diseases Health problem: Neglected Diseases / Zoonoses Database: IBECS Main subject: Brain Abscess / Prolactinoma / Neurosurgical Procedures / Meningitis Limits: Adult / Humans / Male Language: English Journal: Neurocir. - Soc. Luso-Esp. Neurocir Year: 2015 Document type: Article Institution/Affiliation country: Hospital Universitario y Politécnico La Fe/Spain
...