Document Detail


Intrasellar tuberculoma presenting as pituitary apoplexy.
MedLine Citation:
PMID:  11799419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The combination of apoplectic symptoms and a sellar mass most often points to a diagnosis of a pituitary adenoma. Sellar tuberculomas are not considered as a cause of 'pituitary apoplexy' and there has been no radiological documentation of haemorrhage associated with them. We report a 27 years old man who presented with 3 previous episodes of pituitary apoplexy. CT scan showed evidence of a sellar mass with haemorrhage. Transsphenoidal biopsy of the intrasellar mass was reported as 'tuberculoma'. The patient had marked reduction in the size of the lesion following antituberculous therapy with no recurrence of symptoms. Intrasellar tuberculomas must be considered as one of the differential diagnosis when patients present with a pituitary apoplexy.
Authors:
M J Arunkumar; V Rajshekhar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurology India     Volume:  49     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-01-18     Completed Date:  2002-02-12     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  407-10     Citation Subset:  IM    
Affiliation:
Department of Neurological Sciences, Christian Medical College and Hospital, Vellore - 632 004, TamilNadu, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antitubercular Agents / therapeutic use
Humans
Magnetic Resonance Imaging
Male
Pituitary Apoplexy / microbiology*
Pituitary Diseases / complications*,  diagnosis*,  drug therapy
Sella Turcica*
Tomography, X-Ray Computed
Tuberculoma, Intracranial / complications*,  diagnosis*,  drug therapy
Chemical
Reg. No./Substance:
0/Antitubercular Agents

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