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CASE REPORT
Abscess inside craniopharyngioma: diagnostic and management implications
  1. Kamlesh Singh Bhaisora1,
  2. Surya Nandan Prasad2,
  3. Kuntal Kanti Das1,
  4. Hira Lal2
  1. 1Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  2. 2Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Hira Lal, hiralal2007{at}yahoo.co.in

Summary

Abscess inside the pituitary fossa is very rare. Such abscess can be primary, occurring in an otherwise healthy pituitary gland, or secondary, developing inside a diseased gland (ie, harbouring craniopharyngioma, Rathke’s cleft cyst, etc). Secondary pituitary abscess inside a craniopharyngioma remains an extremely rare occurrence. Our literature search revealed only six such cases reported so far. In this report, we present the seventh case of craniopharyngioma with abscess in a 38-year-old woman. We describe the uniqueness of the clinical presentation of our case, the radiological pointers to the possible diagnosis and the management issues in our patient. A review of literature is also included to provide a comprehensive picture of this rare condition to the readers.

  • infection (neurology)
  • neuroendocrinology
  • neuroimaging
  • radiology
  • neurosurgery

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Footnotes

  • Contributors KKD and HL conceived the manuscript. KSB prepared the manuscript. SNP collected the images and also helped in manuscript preparation. HL and KKD edited the manuscript. The final manuscript was read and approved by all the authors.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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