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Hypophyseal fossa aspergillosis mimicking a pituitary macroadenoma with bleed : a case report

Hypophyseal fossa aspergillosis mimicking a pituitary ...

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dc.contributor.author Sinha, Nitin Raj pl
dc.contributor.author Szmigielski, Wojciech pl
dc.contributor.author Ismail, Mostafa pl
dc.date.accessioned 2018-12-14T08:14:38Z
dc.date.available 2018-12-14T08:14:38Z
dc.date.issued 2009 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri https://ruj.uj.edu.pl/xmlui/handle/item/63833
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/pl/legalcode *
dc.title Hypophyseal fossa aspergillosis mimicking a pituitary macroadenoma with bleed : a case report pl
dc.type JournalArticle pl
dc.description.physical 73-77 pl
dc.description.additional Bibliogr. s. 76-77 pl
dc.identifier.weblink http://archiwum.polradiol.com/abstract/index/idArt/878410 pl
dc.abstract.en Background: Aspergillus infection of the sinuses is a common condition in those predisposed due to immunosuppression. However, its intracranial extension is rare, with sellar extension being even rarer and therefore is difficult to diagnose on imaging. Case Report: A case of sellar and sinusal aspergillosis mimicking a pituitary macroadenoma with bleed is presented. The initial CT examination of head of a diabetic patient revealed a hyperdense lesion in the hypophyseal fossa and in the sphenoid sinus with extension into the right cavernous sinus, showing foci of calcification. The differential diagnosis included fungal disease or meningioma and MRI was advised. Unfortunately, the imaging was done after a five months delay when CT and MRI revealed interval growth of the lesion. Although, the MRI presentation was highly suggestive of pituitary macroadenoma with bleeding, the diagnosis of invasive aspergillosis was made when clinical data became available. The diagnosis of aspergillosis was proven by histology. Conclusions: The diagnosis of hypophyseal extension of aspergillosis is difficult, because of its rarity. It is important to consider possibility of fungal infection in those predisposed to it. The judgment based only on MRI findings and incomplete clinical data could easily lead into false diagnosis of an invasive pituitary macroadenoma with bleed. pl
dc.subject.en CT pl
dc.subject.en MRI pl
dc.subject.en sella turcica pl
dc.subject.en hypophyseal fossa pl
dc.subject.en sphenoid sinus pl
dc.subject.en aspergillosis pl
dc.subject.en invasive lesion pl
dc.subject.en bleeding pl
dc.subject.en pituitary gland pl
dc.subject.en macroadenoma pl
dc.description.volume 74 pl
dc.description.number 3 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.date.accession 2018-12-14 pl
dc.subtype Article pl
dc.identifier.articleid 878410 pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0 pl
dc.identifier.project ROD UJ / OP pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa