Document Detail


Intrasellar tuberculoma.
MedLine Citation:
PMID:  7917089     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although intrasellar tuberculomas have been reported in post-mortem examinations, they are exceptionally rare in clinical practice. Five patients with biopsy proven intrasellar tuberculoma with suprasellar extension are described. In four cases the clinical and radiological diagnosis was that of a pituitary adenoma. One patient, however, presented similar to a subarachnoid haemorrhage, but the CSF analysis was suggestive of tuberculous meningitis. All these patients presented either with intermittent headache or a sudden severe headache suggestive of an ictus. Hypopituitarism was diagnosed on clinical grounds in two patients and one patient had an associated galactorrhoea-amenorrhoea syndrome. Only one patient had a bitemporal field cut. In all other patients ophthalmological examination was normal. The CT scan showed a hyperdense sellar mass with suprasellar extension brightly enhancing with contrast in all cases. An angiogram in four patients did not reveal any vascular lesion. Laboratory investigation showed some degree of hypopituitarism in all cases. Transsphenoidal surgery was performed in four patients and operative findings were typical, and unlike those of a pituitary adenoma. All patients responded well to antituberculous treatment and at the end of 12 months were clinically and radiologically normal.
Authors:
A Ranjan; M J Chandy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British journal of neurosurgery     Volume:  8     ISSN:  0268-8697     ISO Abbreviation:  Br J Neurosurg     Publication Date:  1994  
Date Detail:
Created Date:  1994-11-02     Completed Date:  1994-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8800054     Medline TA:  Br J Neurosurg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  179-85     Citation Subset:  IM    
Affiliation:
Department of Neurological Sciences, Christian Medical College Hospital, Vellore, India.
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MeSH Terms
Descriptor/Qualifier:
Adenoma / diagnosis,  pathology,  surgery
Adolescent
Adult
Antitubercular Agents / administration & dosage
Combined Modality Therapy
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Male
Pituitary Diseases / diagnosis,  pathology,  surgery*
Pituitary Function Tests
Pituitary Neoplasms / diagnosis,  pathology,  surgery
Tomography, X-Ray Computed
Tuberculoma, Intracranial / diagnosis,  pathology,  surgery*
Tuberculosis, Meningeal / diagnosis,  pathology,  surgery
Chemical
Reg. No./Substance:
0/Antitubercular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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