Pituitary Tuberculoma.
J Coll Physicians Surg Pak
; 28(6): S97-S98, 2018 Jun.
Article
in En
| MEDLINE
| ID: mdl-29866234
ABSTRACT
Tuberculosis rarely involves the hypothalamo-pituitary region and constitutes only 1% of the lesions involving the sellar and/or suprasellar region. Coleman and Meredith first reported pituitary tuberculosis in 1940, and only a handful of cases have been reported ever since. It may manifest as a chiasmal syndrome due to compression of the optic chiasm or as hypopituitarism due to pituitary destruction. It has a characteristic radiological appearance and can mimic a pituitary adenoma. Diagnostic procedures, such as trans-sphenoidal biopsy, are crucial for accurate diagnosis. We report a case of a 32-year male, who presented with complaints of headache and decreased visual acuity for the past 6 months. Eye examination revealed bitemporal hemianopsia. Brain MRI scan showed a mass in the sella with features suggestive of pituitary adenoma. Transcranial resection of the mass was performed; histopathology of the excised mass proved it to be a pituitary tuberculoma.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Optic Chiasm
/
Pituitary Diseases
/
Pituitary Gland
/
Tuberculoma
/
Magnetic Resonance Imaging
/
Headache
/
Hypopituitarism
Type of study:
Etiology_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
J Coll Physicians Surg Pak
Journal subject:
MEDICINA
Year:
2018
Document type:
Article