caa a22 4500 606215964 CHVBK 20210128101101.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00701-015-2485-6 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2485-6 Sphenoid sinus aspergilloma in trans-sphenoidal surgery for pituitary adenomas [Elektronische Daten] [Tomislav Sajko, Živko Gnjidić, Nikolina Sesar, Maša Malenica] Background: Simultaneous appearance of sphenoid sinus aspergilloma and pituitary adenoma is a very rare finding. Methods: Retrospective analysis of patients with sellar and sphenoid sinus mass lesions who underwent trans-sphenoidal surgery was performed. Demographic data, medical history, predisposing factors, clinical picture, neurological status and radiological findings were reviewed. All patients underwent a trans-sphenoidal microsurgical treatment, and acquired specimens underwent both histopathological and microbiological analysis. Results: Sphenoid sinus aspergilloma was encountered in seven patients. Three patients had an isolated sphenoid sinus aspergilloma and four patients with pituitary macroadenoma had a sphenoid aspergilloma as an incidental finding. Conclusions: Sphenoid sinus aspergilloma can be found during trans-sphenoidal surgery for pituitary adenomas. Sphenoid sinus extirpation followed by adenomectomy is the treatment of choice unless invasive aspergilloma is encountered requiring additional antifungal therapy. Springer-Verlag Wien, 2015 Aspergilloma nationallicence Sphenoid sinus nationallicence Pituitary adenoma nationallicence Trans-sphenoidal surgery nationallicence Treatment nationallicence Sajko Tomislav Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia aut Gnjidić Živko Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia aut Sesar Nikolina Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia aut Malenica Maša Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia aut Acta Neurochirurgica Springer Vienna 157/8(2015-08-01), 1345-1351 0001-6268 157:8<1345 2015 157 701 https://doi.org/10.1007/s00701-015-2485-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2485-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sajko Tomislav Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia aut NATIONALLICENCE 700 1- Gnjidić Živko Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia aut NATIONALLICENCE 700 1- Sesar Nikolina Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia aut NATIONALLICENCE 700 1- Malenica Maša Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/8(2015-08-01), 1345-1351 0001-6268 157:8<1345 2015 157 701