@entity2894 with XXXX .

@entity1 @entity514 @entity39 @entity2894 @entity4776 @entity693 @entity2012 @entity977 @entity652 @entity4903
In 255 @entity1 with evidence of a @entity977 , 7 @entity1 presented with typical symptoms of @entity693 , which all proved to be sterile. In these @entity1 a @entity977 was surgically verified in 4. In one @entity1 the presence of @entity2012 indicated a @entity977 . In 2 @entity1 an enlarged, @entity4776 was found, taken to reflect spontaneous disappearance of an @entity652 . It is thought that the cause of the sterile meningeal reaction in the 7 @entity1 was a spontaneous @entity39 of the @entity652 with expulsion of necrotic material into the suprasellar subarachnoid space. Although this sequence has been described before it has been considered to occur very rarely. @entity2894 as the underlying cause of @entity693 should be suspected in @entity1 with evidence of @entity4903 or lesion of structures adjacent to the fossa. The diagnosis may be established by computer tomography. Therapeutically, it may be of importance that the nature of the meningeal reaction is promptly recognized. @entity514 neurosurgical decompression of the sella and adequate hormonal substitution therapy may be essential.
