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 language | English |
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Pages (from-to) | 147-149 |
Number of pages | 3 |
Journal | Neurological Sciences |
Volume | 33 |
Issue number | 1 |
DOIs | |
Publication status | Published - Feb 2012 |
Keywords
- Meningoencephalitis
- Pituitary apoplexia
ASJC Scopus subject areas
- Clinical Neurology
- Psychiatry and Mental health
- Dermatology