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Updated: Jul 18, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
An enhancing pituitary lesion in a young woman: a diagnostic dilemma
Wasiq Thiryayi1, Marcia Hugh Donaldson, David Border
1Department of Neurosurgery, Hope Hospital, 65 Vancouver Quay, Salford Quays Salford, Manchester, Lancashire M50 3TU, UK. waz79@hotmail.com
Abstract:
Wegener's granulomatosis is a systemic small-vessel vasculitis predominantly involving the upper airways, lungs and kidneys. Central nervous system involvement is known to occur in 10% of cases, manifesting as diffuse meningeal involvement and cerebral granulomatous lesions, but isolated involvement of the pituitary is extremely rare. We describe a case of isolated pituitary involvement with abscess formation secondary to Wegener's granulomatosis in a 21-year-old woman. To the best of our knowledge this is the first reported case of pituitary abscess formation secondary to Wegener's granulomatosis.
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