Primary intrasellar coccidioidomycosis simulating a pituitary adenoma.
The case of a 68-year-old woman who had relatively acute, unilateral ophthalmoplegia is reported. Radiological studies indicated a mass lesion involving the pituitary gland and left cavernous sinus. Pathological tissue obtained by the transsphenoidal approach revealed the presence of a Coccidioides granuloma. This pathological entity should be considered when evaluating patients with a pituitary mass and ophthalmoplegia.
Scanarini
M
M
Department of Neurosurgery, University of Padua, Italy.
Rotilio
A
A
Rigobello
L
L
Pomes
A
A
Parenti
A
A
Alessio
L
L
D000236:Adenoma / Q000175:diagnosis*; D000368:Aged; D001927:Brain Diseases / Q000175:diagnosis / Q000382:microbiology; D003047:Coccidioidomycosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010911:Pituitary Neoplasms / Q000175:diagnosis*; D012658:Sella Turcica / Q000382:microbiology; D014057:Tomography, X-Ray Computed