{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T22:27:48Z","timestamp":1783117668299,"version":"3.54.6"},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1977,5]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Seven cases of pituitary abscess are presented and the relevant world literature is reviewed. An enlarged sella co-existing with bacterial meningitis, or bacterial meningitis coinciding with a known or suspected pituitary tumor should suggest the diagnosis of pituitary abscess. Visual field defects should evoke similar suspicion when present in a patient with meningitis. This reasoning enabled us to make the first reported preoperative diagnosis of pituitary abscess. Therefore, in the management of purulent meningitis, we recommend the following: first, skull films are mandatory; second, if the sella turcica is abnormal, the correct presumptive diagnosis is pituitary abscess; and third, if prompt improvement does not follow appropriate antibiotic therapy, the suspected abscess should be explored and drained via the transsphenoidal approach.<\/jats:p>","DOI":"10.3171\/jns.1977.46.5.0601","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:19:40Z","timestamp":1241709580000},"page":"601-608","source":"Crossref","is-referenced-by-count":106,"title":["Pituitary abscesses"],"prefix":"10.3171","volume":"46","author":[{"given":"James N.","family":"Domingue","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles B.","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Arch Soc Ciruj","first-page":"312","article-title":"Absceso de neumococos, operado en adenoma de transici\u00f3n de la hip\u00f3fisis.","volume":"2","author":"Asenjo","year":"1950"},{"key":"b2","series-title":"Neurochirurgica","first-page":"34","article-title":"Intrasellar abscess simulating pituitary adenoma.","volume":"14","author":"Askenasy","year":"1971"},{"key":"b3","series-title":"J R Egyptian Med Assoc","first-page":"106","article-title":"Intra-sellar abscess simulating chromophobe adenoma.","volume":"35","author":"Barrada","year":"1952"},{"key":"b4","series-title":"Pren Med Argent","first-page":"876","article-title":"Absceso de hip\u00f3fisis.","volume":"48","author":"Bianchi","year":"1961"},{"key":"b5","series-title":"Johns Hopkins Med J","first-page":"56","article-title":"Acute suppurative hypophysitis as a complication of purulent sphenoidal sinusitis.","volume":"18","author":"Boggs","year":"1919"},{"key":"b6","series-title":"Presse Med","first-page":"1875","article-title":"Complications intr\u00e1-craniennes de sinusites sph\u00e9no\u00efdales. 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