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 |
|---|---|
| Pages (from-to) | 147-149 |
| Number of pages | 3 |
| Journal | Neurological Sciences |
| Volume | 33 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Feb 2012 |
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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 journal › Article
}
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 -