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Minim Invasive Neurosurg 1999; 42(4): 204-206
DOI: 10.1055/s-2008-1053400
© Georg Thieme Verlag Stuttgart · New York

Pituitary Abscess Secondary to Isolated Sphenoid Sinusitis

T. Shono1 , S. Nishio1 , H. Muratani1 , T. Yasuda2 , M. Fukui1 , K. Moutai3
  • 1Department of Neurosurgery
  • 2Department of Otolaryngology, Faculty of Medicine, Kyushu University
  • 3Department of Pediatrics, Karatsu Red Cross Hospital
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Publikationsdatum:
18. März 2008 (online)

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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.

Key words

Isolated Sphenoid Sinusitis - Pituitary Abscess - Oculomotor Palsy - Endonasal Endoscopy