Pituitary abscess showing high uptake of thallium-201 on single photon emission computed tomography--case report.

Abstract:

:A 32-year-old female presented with a rare case of pituitary abscess manifesting as homonymous hemianopsia. Serum prolactin level was slightly high (40.8 ng/ml). Magnetic resonance (MR) imaging showed the content of the lesion as homogeneously isointense on the T1-weighted images and hyperintense on the T2-weighted images. The capsule of the lesion, which appeared thin and smooth, was enhanced by gadolinium. Dural enhancement around the sella turcica was also recognized. Thallium-201 single photon emission computed tomography (201Tl SPECT) showed homogeneous high accumulation in the pituitary region on both the early and delayed images. The lesion was treated via a transnasaltranssphenoidal approach. The cystic lesion contained pus and the capsule consisted of normal pituitary gland with inflammatory changes. The patient was treated with antibiotics for 3 weeks and the pituitary abscess was cured completely. Pituitary abscess can be differentiated from pituitary adenoma as lesion with a homogeneous high uptake on 201Tl SPECT on both the early and delayed images, and no enhancement of the central portion on MR images.

authors

Shimamura N,Ogane K,Takahashi T,Tabata H,Ohkuma H,Suzuki S

doi

10.2176/nmc.43.100

keywords:

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

100-3

issue

2

eissn

0470-8105

issn

1349-8029

pii

JST.JSTAGE/nmc/43.100

journal_volume

43

pub_type

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