title: Secondary headache due to aspergillus sellar abscess simulating a pituitary neoplasm: case report and review of literature.
abstract: Fungal sellar abscess is rare. A 42-year-old man was admitted with 2-month headache characterized by right peri-orbital pain. An intrasellar mass was found to be simulated a pituitary neoplasm after magnetic resonance imaging examination, and operated on via an endoscopic trans-sphenoidal approach. Milk-like pus and a mass of ash black mixed and necrotic material were found and removed. Histopathology revealed numerous aspergillus hyphae. Itraconazole was given on a dosage of 200 mg twice a day orally for 6 weeks. No recurrence was observed during follow-up. Complete surgical resection through endoscopic trans-sphenoidal approach combined with systemic anti-fungal therapy, should be considered as the optimal treatment.
authors.affiliation: Department of Neurosurgery, Fujian Provincial Hospital, Fujian Medical University, 134 Dongjie Road, Gulou District, Fuzhou, 350001 China.
authors.forename: Wenyao
authors.initials: W
authors.lastname: Hong
authors.affiliation: Department of Neurosurgery, Fujian Provincial Hospital, Fujian Medical University, 134 Dongjie Road, Gulou District, Fuzhou, 350001 China.
authors.forename: Yuqing
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, Fujian Provincial Hospital, Fujian Medical University, 134 Dongjie Road, Gulou District, Fuzhou, 350001 China.
authors.forename: Mingwu
authors.initials: M
authors.lastname: Chen
authors.affiliation: Department of Neurosurgery, Fujian Provincial Hospital, Fujian Medical University, 134 Dongjie Road, Gulou District, Fuzhou, 350001 China.
authors.forename: Kun
authors.initials: K
authors.lastname: Lin
authors.affiliation: Department of Neurosurgery, Fujian Provincial Hospital, Fujian Medical University, 134 Dongjie Road, Gulou District, Fuzhou, 350001 China.
authors.forename: Zhengjian
authors.initials: Z
authors.lastname: Liao
authors.affiliation: Department of Neurosurgery, Fujian Provincial Hospital, Fujian Medical University, 134 Dongjie Road, Gulou District, Fuzhou, 350001 China.
authors.forename: Shengyue
authors.initials: S
authors.lastname: Huang
keywords: Aspergillus; Fungal; Pituitary neoplasm; Sellar abscess