PubMed · 14062098
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M VICTOR, B Q BANKER. 1963. BRAIN ABSCESS.. https://doi.org/10.1016/s0025-7125(16)33539-8
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CASE REPORT: A boy of 8 suffering from hemoglobinopathy M had two encapsulated cerebral abscesses confirmed on CT--one in the right temporal lobe, the second in the left frontal lobe--measuring 48 and 58 mm in diameter respectively. The disease began with fever, daily vomiting, and permanent somnolency, and was defined as encephalitis of viral etiology. TREATMENT: Conservative treatment proved ineffective and the patient's state grew worse. He underwent simultaneous excision of the two cerebral abscesses with a capsule. Continuous drainage of the operational cavities was performed. OUTCOME: The patient has been observed for 3 months.
The preoperative diagnosis of pituitary abscess is difficult. The case of a 56-year-old man with a pituitary abscess and painless thyroiditis is presented. There has been no previous such report. The differential diagnosis includes pituitary abscess, lymphocytic adenohypophysitis or infundibuloneurohypophysitis, share clinical symptoms of panhypopituitarism and diabetes insipidus, and is of critical importance as the treatment of these conditions differ. The association with painless thyroiditis suggests a diagnosis of lymphocytic adenohypophysitis or infundibuloneurohypophysitis. However, the coincidence of pituitary abscess and painless thyroiditis was observed in our patient, and thus though rare, should be considered. Surgical exploration and histopathological examination are essential for the differential diagnosis of these diseases.
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