Author/Authors :
Mbaye, Maguette Neurosurgery Clinic - Fann National University Hospital, Dakar, Senegal , Thioub, Mbaye Neurosurgery Clinic - Fann National University Hospital, Dakar, Senegal , Canton Kessely, Yannick Neurosurgery Clinic - Fann National University Hospital, Dakar, Senegal , Tine, Ibrahima Neurosurgery Clinic - Fann National University Hospital, Dakar, Senegal , Cisse, Mohamed El Hassimi Badara Neurosurgery Clinic - Fann National University Hospital, Dakar, Senegal , Thiam, Alioune Neurosurgery Clinic - Fann National University Hospital, Dakar, Senegal , Code Ba, Momar Neurosurgery Clinic - Fann National University Hospital, Dakar, Senegal , Boubakar Badiane, Seydou Neurosurgery Clinic - Fann National University Hospital, Dakar, Senegal
Abstract :
Background and Importance: Abscess of the hypophysis or pituitary adenoma is a very rare entity, and its
preoperative diagnosis could be challenging. The clinical presentation is less specific, and despite the recent
advancement in imaging, diagnosis before surgery is still difficult.
Case Presentation: We reported two cases of pituitary abscesses in patients aged 38 and 42 years. The first
patient was managed for maxillary sinusitis associated with pituitary adenoma whose diagnosis was made
following surgery. For the second patient, the diagnosis was proposed before surgery following an MRI
which showed a ring enhancement lesion of the hypophysis. Both patients benefitted from surgery where
one had sub-labial rhino-septal trans-sphenoidal approach and the other through endoscopic endonasal
trans-sphenoidal approach. Both received intravenous broad spectrum antibiotics.
Conclusion: Post-operative evolution was good with control MRI showing complete disappearance of the
sellar lesion. Early diagnosis and treatment improved the prognosis.
