False pituitary tumor in CSF leaks

Neurology. 2000 Aug 22;55(4):573-5. doi: 10.1212/wnl.55.4.573.

Abstract

The authors describe five patients with typical clinical and MRI features of CSF leak and large enhancing pituitaries. The source of CSF leak was identified and surgically repaired in three patients. This was followed by disappearance of clinical symptoms and resolution of MRI abnormalities, including the pituitary enlargement. Enhancing enlargement of pituitary is another head MRI abnormality in CSF leaks, likely reflecting a secondary pituitary hyperemia.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / diagnosis*
  • Adult
  • Cerebrospinal Fluid Pressure
  • Cerebrovascular Circulation
  • Diagnosis, Differential
  • Female
  • Gadolinium
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Pituitary Gland / blood supply
  • Pituitary Gland / pathology
  • Pituitary Neoplasms / diagnosis*
  • Subdural Effusion / diagnosis*
  • Subdural Effusion / surgery

Substances

  • Gadolinium