Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Primary Pituitary Aspergillosis - Case Report -

원발성 뇌하수체 아스페르길루스증 - 증례보고 -

  • Lee, Young Kyun (Department of Neurosurgery, Catholic University Medical College) ;
  • Kim, Jong Tae (Department of Neurosurgery, Catholic University Medical College) ;
  • Yoo, Kwan Uk (Department of Neurosurgery, Catholic University Medical College) ;
  • Ahn, Chang Ho (Department of Neurosurgery, Catholic University Medical College) ;
  • Chung, Dong Sup (Department of Neurosurgery, Catholic University Medical College) ;
  • Park, Young Sup (Department of Neurosurgery, Catholic University Medical College) ;
  • Kang, Joon Ki (Department of Neurosurgery, Catholic University Medical College)
  • 이영균 (가톨릭대학교 의과대학 신경외과학교실) ;
  • 김종태 (가톨릭대학교 의과대학 신경외과학교실) ;
  • 유관욱 (가톨릭대학교 의과대학 신경외과학교실) ;
  • 안창호 (가톨릭대학교 의과대학 신경외과학교실) ;
  • 정동섭 (가톨릭대학교 의과대학 신경외과학교실) ;
  • 박영섭 (가톨릭대학교 의과대학 신경외과학교실) ;
  • 강준기 (가톨릭대학교 의과대학 신경외과학교실)
  • Received : 1999.11.15
  • Accepted : 2000.02.17
  • Published : 2000.11.28
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Abstract

Aspergillosis is an uncommon form of fungal infection of the central nervous system in immunocompetent patient, especially those involving the pituitary gland. Several cases of pituitary aspergillosis have been reported, but most of them are directly invaded from aspergillosis of sphenoid sinus. In the present case, a woman with primary pituitary aspergillosis had neither evidence of infection of the sphenoid sinus nor immunodeficiency. The patient underwent a transsphenoidal surgery for a presumed pituitary tumor. Histopathology demonstrated typical findings of aspergillosis. Postoperatively, amphotericin-B was administered and Gallium-67 scan was performed. We describe a case of primary pituitary aspergillosis mimicking pituitary tumor.

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