Thickening of the pituitary stalk: a finding suggestive of intrasellar tuberculoma? Case report.
We describe the case of a patient with an exclusively intrasellar mass, disclosed because of a left sixth nerve palsy and headaches. No other manifestation of disease, namely, endocrinological, was present. The lesion was approached transsphenoidally, and the pathological examination revealed a tuberculoma. Complete removal was achieved, and the patient started postoperative antituberculous therapy. In some circumstances, thickening of the infundibulum and the pituitary stalk could preoperatively suggest the diagnosis of hypophysial tuberculoma.
Pereira
J
J
Department of Neurosurgery, Faculty of Medicine of Oporto, Hospital de Saint, João Porto, Portugal.
Vaz
R
R
Carvalho
D
D
Cruz
C
C
D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010902:Pituitary Gland / Q000000981:diagnostic imaging / Q000473:pathology*; D012658:Sella Turcica; D014057:Tomography, X-Ray Computed; D016862:Tuberculoma, Intracranial / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery
D000995:Antitubercular Agents