Pituitary abscess secondary to isolated sphenoid sinusitis

Intracranial complications from isolated sphenoid sinusitis are rare but ne vertheless demonstrate both a high morbidity and mortality. We herein repor t a case of a pituitary abscess secondary to sphenoid sinusitis in a 12-yea r-old boy. This patient presented with an acute onset of moderate fever and headache, followed by progressive right ptosis. An emergency endoscopic en donasal sphenoidotomy with sinus drainage and postoperative antibiotic ther apy resulted in a satisfactory recovery.