Pituitary tumor apoplexy presenting as infective meningoencephalitis

Annachiara Cagnin, Andrea Marcante, Enrico Orvieto, Renzo Manara

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We report on a case of a 80-year-old man who developed progressive drowsiness with headache, fever and signs of meningeal irritation 2 days after a head trauma. Suspecting an infective meningoencephalitis, the patient was treated with wide spectrum antibiotic and antiviral therapy. Brain CT scan revealed a previously unknown pituitary expansive lesion. A brain MRI study confirmed the presence of an intrasellar lesion, which presented remarkable contrast ring enhancement, and showed non-specific inflammatory tissue on the clivus, possibly responsible of the clinical features of sterile meningitis. A biopsy proven diagnosis of pituitary apoplexy was made. This case highlights MRI as an important investigation for earlier recognition of pituitary apoplexy that can present with a clinical picture resembling an infective meningoencephalitis.

Original languageEnglish
Pages (from-to)147-149
Number of pages3
JournalNeurological Sciences
Volume33
Issue number1
DOIs
Publication statusPublished - Feb 2012

Fingerprint

Pituitary Apoplexy
Meningoencephalitis
Pituitary Neoplasms
Posterior Cranial Fossa
Sleep Stages
Brain
Craniocerebral Trauma
Meningitis
Antiviral Agents
Headache
Fever
Anti-Bacterial Agents
Biopsy
Therapeutics

Keywords

  • Meningoencephalitis
  • Pituitary apoplexia

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Dermatology

Cite this

Pituitary tumor apoplexy presenting as infective meningoencephalitis. / Cagnin, Annachiara; Marcante, Andrea; Orvieto, Enrico; Manara, Renzo.

In: Neurological Sciences, Vol. 33, No. 1, 02.2012, p. 147-149.

Research output: Contribution to journalArticle

Cagnin, A, Marcante, A, Orvieto, E & Manara, R 2012, 'Pituitary tumor apoplexy presenting as infective meningoencephalitis', Neurological Sciences, vol. 33, no. 1, pp. 147-149. https://doi.org/10.1007/s10072-011-0638-9
Cagnin, Annachiara ; Marcante, Andrea ; Orvieto, Enrico ; Manara, Renzo. / Pituitary tumor apoplexy presenting as infective meningoencephalitis. In: Neurological Sciences. 2012 ; Vol. 33, No. 1. pp. 147-149.
@article{31ae43aec0964a89b075a52698f91f5d,
title = "Pituitary tumor apoplexy presenting as infective meningoencephalitis",
abstract = "We report on a case of a 80-year-old man who developed progressive drowsiness with headache, fever and signs of meningeal irritation 2 days after a head trauma. Suspecting an infective meningoencephalitis, the patient was treated with wide spectrum antibiotic and antiviral therapy. Brain CT scan revealed a previously unknown pituitary expansive lesion. A brain MRI study confirmed the presence of an intrasellar lesion, which presented remarkable contrast ring enhancement, and showed non-specific inflammatory tissue on the clivus, possibly responsible of the clinical features of sterile meningitis. A biopsy proven diagnosis of pituitary apoplexy was made. This case highlights MRI as an important investigation for earlier recognition of pituitary apoplexy that can present with a clinical picture resembling an infective meningoencephalitis.",
keywords = "Meningoencephalitis, Pituitary apoplexia",
author = "Annachiara Cagnin and Andrea Marcante and Enrico Orvieto and Renzo Manara",
year = "2012",
month = "2",
doi = "10.1007/s10072-011-0638-9",
language = "English",
volume = "33",
pages = "147--149",
journal = "Neurological Sciences",
issn = "1590-1874",
publisher = "Springer-Verlag Italia s.r.l.",
number = "1",

}

TY - JOUR

T1 - Pituitary tumor apoplexy presenting as infective meningoencephalitis

AU - Cagnin, Annachiara

AU - Marcante, Andrea

AU - Orvieto, Enrico

AU - Manara, Renzo

PY - 2012/2

Y1 - 2012/2

N2 - We report on a case of a 80-year-old man who developed progressive drowsiness with headache, fever and signs of meningeal irritation 2 days after a head trauma. Suspecting an infective meningoencephalitis, the patient was treated with wide spectrum antibiotic and antiviral therapy. Brain CT scan revealed a previously unknown pituitary expansive lesion. A brain MRI study confirmed the presence of an intrasellar lesion, which presented remarkable contrast ring enhancement, and showed non-specific inflammatory tissue on the clivus, possibly responsible of the clinical features of sterile meningitis. A biopsy proven diagnosis of pituitary apoplexy was made. This case highlights MRI as an important investigation for earlier recognition of pituitary apoplexy that can present with a clinical picture resembling an infective meningoencephalitis.

AB - We report on a case of a 80-year-old man who developed progressive drowsiness with headache, fever and signs of meningeal irritation 2 days after a head trauma. Suspecting an infective meningoencephalitis, the patient was treated with wide spectrum antibiotic and antiviral therapy. Brain CT scan revealed a previously unknown pituitary expansive lesion. A brain MRI study confirmed the presence of an intrasellar lesion, which presented remarkable contrast ring enhancement, and showed non-specific inflammatory tissue on the clivus, possibly responsible of the clinical features of sterile meningitis. A biopsy proven diagnosis of pituitary apoplexy was made. This case highlights MRI as an important investigation for earlier recognition of pituitary apoplexy that can present with a clinical picture resembling an infective meningoencephalitis.

KW - Meningoencephalitis

KW - Pituitary apoplexia

UR - http://www.scopus.com/inward/record.url?scp=84863982284&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863982284&partnerID=8YFLogxK

U2 - 10.1007/s10072-011-0638-9

DO - 10.1007/s10072-011-0638-9

M3 - Article

C2 - 21630035

AN - SCOPUS:84863982284

VL - 33

SP - 147

EP - 149

JO - Neurological Sciences

JF - Neurological Sciences

SN - 1590-1874

IS - 1

ER -