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Intrasellar tuberculoma presenting as pituitary apoplexy.

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Author(s): Arunkumar M | Rajshekhar V

Journal: Neurology India
ISSN 0028-3886

Volume: 49;
Issue: 4;
Start page: 407;
Date: 2001;
Original page

Keywords: Adult | Antitubercular Agents | therapeutic use | Human | 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

ABSTRACT
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.

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