Property | Value |
Name | A rare presentation of spontaneous CSF rhinorrhoea in a case of pituitary macroadenoma with hydrocephalus – A case report |
Description | Case report:- Microbiology Lakshmi K1, Nagarajan Krishnan2, Santhanam Rengarajan3*. 1Assistant Professor, Department of Microbiology, 2Associate Professor, Department of Radiology, 3Associate Professor, Department of Neurosurgery,Sree Balaji Medical College and Hospital, Chennai, India.
Abstract:- Cerebrospinal fluid (CSF) rhinorrhea is a known complication of medical therapy with dopamine agonists in case of prolactinomas, radiotherapy or Postsurgical. But it is an extremely rare presenting symptom of an untreated non functional pituitary macroadenoma. We report one such rare case of a forty six year old man with moderately-sized non-functioning pituitary macroadenoma presenting with spontaneous CSF rhinorrhoea. CT (Computed Tomography) showed an isodense sellar -suprasellar lesion with minimal contrast enhancement and asymmetrically dilated ventricles - left more than the right. MRI (Magnetic Resonance Imaging) revealed an isointense lesion with extension into the third ventricle superiorly, and sphenoid and posterior ethmoid inferiorly through bony defect in sellar floor with asymmetrically dilated ventricles. Patient underwent left ventriculo-peritoneal shunt followed by endoscopic transnasal decompression. Biopsy of the lesion confirmed pituitary adenoma. Patient had good clinical outcome and is asymptomatic in the past three years of follow up.
Keywords:-Hydrocephalus, Pituitary macroadenoma, Spontaneous CSF rhinorroea. |
Filename | Lakshmi K, Nagarajan K, & Santhanam R.(234-236).pdf |
Filesize | 235.33 kB |
Filetype | pdf (Mime Type: application/pdf) |
Creator | admin |
Created On: | 12/03/2012 00:00 |
Viewers | Everybody |
Maintained by | Editor |
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Last updated on | 12/26/2012 08:42 |
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