Case Report

Prolonged Postoperative Pyrexia and Transient Nonnephrogenic Vasopressin-Analogue-Resistant Polyuria following Endoscopic Transsphenoidal Resection of an Infundibular Epidermoid Cyst

Table 1

Characteristics of previous and current case reports of pituitary stalk epidermoid cysts.

PaperAge/sexPresentationImaging characteristicsOperative approachPostoperative status

Costa et al., 2013 [10]27-year-old femaleAmenorrhea, galactorrhea, polyuria, and polydipsiaMixed signal, bilobed rim and enhancing cystic lesionEndoscopic endonasal extended transsphenoidalNot reported

Nakassa et al., 2017 [11]54-year-old femaleHeadache, visual disturbance, polyuria, and polydipsiaMixed signal and nonenhancing cystic lesionEndoscopic endonasalPersistent DI and subjective visual fields improvement

McCormack et al., 2018 [12]36-year-old femaleHeadache and visual disturbanceMultilocular T1 hypointense, T2 hyperintense, and rim-enhancing lesionEndoscopic endonasal extended transsphenoidalTransient DI

Montaser et al., 2018 [13]49-year-old femaleHeadacheMixed signal and nonenhancing sellar/suprasellar cyst extending into the third ventricleEndoscopic endonasal extended transsphenoidalPersistent DI

Khan et al., 2019 [14]55-year-old maleDecreased visual acuityMixed signal and rim-enhancing cystic lesionEndoscopic endonasal extended transsphenoidalPanhypopituitarism and subjective visual fields improvement

Lee et al., 2020 [15]63-year-old malePolydipsia and polyuriaT2 hyperintense and rim-enhancing cystic lesionPretemporal craniotomyPersistent DI

Current case59-year-old maleHeadache and visual disturbanceRim-enhancing cystic lesionEndoscopic endonasal extended transsphenoidalPanhypopituitarism, persistent DI, and visual fields improvement