J Clin Neurol.  2018 Jan;14(1):107-109. 10.3988/jcn.2018.14.1.107.

Group B Streptococcus Meningitis Presenting as the Initial Symptom of a Recurrent Pituitary Adenoma

• Kang KW
• Baek BH
• Kim SH
• Kim HS
• Nam TS
• Lim SC
• Kim MK

• KMID: 2399609
• DOI: http://doi.org/10.3988/jcn.2018.14.1.107

Abstract

No abstract available.

MeSH Terms

Meningitis*
Pituitary Neoplasms*
Streptococcus*

Figure

• 

  Fig. 1 Invasion of a recurrent pituitary adenoma into the skull base in a 55-year-old woman. A: Axial fluid-attenuation inversion recovery image showing extensive bilateral hyperintensities in the cerebral sulci and Sylvian fissures, suggestive of leptomeningitis. B: Axial postcontrast T1-weighted image showing an enhanced mass encasing both internal carotid arteries in the central skull base (arrow). C: Sagittal postcontrast T1-weighted image showing a multilobulated strongly enhanced mass occupying the clivus and sphenoid sinus, with intrasellar extension (arrow). D: Preoperative computed tomography (CT) scan of the skull base showing a bone-destroying mass in the clivus and sphenoid sinus, with a widening of the right sphenoid sinus ostium (arrow). E: Sagittal CT scan of the skull base showing an enhanced mass in the clivus and sphenoid sinus, with destruction of the sellar floor and intrasellar extension (arrows). F: A nasolaryngoscopic examination revealed a pulsating mass and clear discharge in the right sphenoid sinus.

Reference

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