Pituitary Abscess Secondary to Isolated Sphenoid Sinusitis

Takeshi Shono, Saori Nishio, Hiroshi Muratani, Takami Yasuda, Melanie B. Fukui, K. Moutai

min - Minimally Invasive Neurosurgery · 1999 · 18 citations · 0 references

Concepts

Abstract

Intracranial complications from isolated sphenoid sinusitis are rare but nevertheless demonstrate both a high morbidity and mortality. We herein report a case of a pituitary abscess secondary to sphenoid sinusitis in a 12-year-old boy. This patient presented with an acute onset of moderate fever and headache, followed by progressive right ptosis. An emergency endoscopic endonasal sphenoidotomy with sinus drainage and postoperative antibiotic therapy resulted in a satisfactory recovery.