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Cent Eur Neurosurg 2009; 70(3): 149-153
DOI: 10.1055/s-0028-1082063
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Metastasis to Pituitary Adenoma: Case Report and Review of the Literature

Metastasierung in ein Hypophysenadenom: Fallbericht und Durchsicht der LiteraturA. Hoellig1 , P. Niehusmann2 , S. Flacke3 , R. A. Kristof1
  • 1Department of Neurosurgery, University of Bonn, Bonn, Germany
  • 2Department of Neuropathology, University of Bonn, Bonn, Germany
  • 3Department of Radiology, University of Bonn, Bonn, Germany
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Publication History

Publication Date:
21 August 2009 (online)

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Abstract

We present a rare case of a metastasis to a pituitary adenoma and review 14 cases published in the literature to date. Metastases to pituitary adenomas most commonly present with rapidly progressing chiasm compression syndromes, headaches and oculomotor nerve palsies. The prognosis for this condition is poor. Metastases to pituitary adenomas have to be considered in the differential diagnosis of sellar tumors.

Zusammenfassung

Wir berichten über einen seltenen Fall einer Metastasierung in ein Hypophysenadenom und stellen eine Übersicht der 14 bisher veröffentlichten Fälle vor. Metastasen innerhalb eines Hypophysenadenoms äußern sich häufig durch rasch progrediente Chiasmakompressionssyndrome, Kopfschmerzen und Okulomotoriusparesen. Die Prognose des Krankheitsbildes ist schlecht. Metastasierung in ein Hypophysenadenom muß in der Differentialdiagnose sellärer Raumforderungen bedacht werden.

Key words

pituitary adenoma - metastasis - oculomotor nerve palsy - diabetes insipidus

Schlüsselwörter

Hypophysenadenom - Metastasierung - Okulomotoriusparese - Diabetes insipidus

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Correspondence

Dr. A. Hoellig

Department of Neurosurgery

University of Bonn

Sigmund-Freud-Str. 25

53105 Bonn

Germany

Phone: +228/287 165 21

Fax: +228/287 147 59

Email: Anke.Hoellig@ukb.uni-bonn.de