Isolated sellar tuberculoma presenting with panhypopitutarism: clinical, diagnostic considerations and literature review
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Sunil V. Furtado • Prasanna K. Venkatesh • Nandita Ghosal • A. S. Hegde
- چاپ و سال / کشور: 2010
Description
Tuberculosis, a common cause for chronic intracranial infections can mimic varied intracranial pathologies including tumours. Pituitary tuberculomas are rare lesions and are often diagnosed pre-operatively as pituitary tumours. We report a case of a 31-year-old lady with a sellar-suprasellar lesion who presented with panhypopituitarism. The patient underwent a trans-nasal, trans-sphenoidal surgical decompression of the lesion. Histopathology revealed a tuberculous lesion in the pituitary. The characteristic radiological features of sellar tuberculomas are discussed along with a review of literature. Atypical sellar radiology in the presence of a thickened pituitary stalk could point to pathology other than pituitary adenoma, possibly a chronic inflammatory condition like tuberculoma
Neurol Sci (2011) 32:301–304 DOI 10.1007/s10072-010-0409-z Received: 25 June 2009 / Accepted: 1 September 2010 / Published online: 1 October 2010
