Abstract
A 38-year-old man with a previously unrecognized macroprolactinoma presented with an acute and severe headache in association with transient diplopia and ptosis. Computerized tomography revealed erosion of bony sellar margins and a mass in the sellar region containing air bubbles, suggesting the presence of an intrasellar infection. Non-surgical treatment with dexamethasone, antibiotics, and bromocriptine resulted in resolution of the neurological and hormonal abnormalities. Serial imaging studies showed resolution of signs of infection and shrinkage of the tumor. The literature on pituitary abscess is reviewed. Awareness of this condition may improve early recognition and appropriate treatment.
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