title: Diabetes insipidus in sellar-suprasellar tuberculoma.
abstract: Tuberculoma involving the sellar and suprasellar region is extremely rare. Sellar region tuberculoma usually presents with endocrinopathy of hypofunction, rarely hyperfunction or normal function of the anterior pituitary. However, sellar-suprasellar tuberculoma presenting with diabetes insipidus (DI) is very rare. We report the case of a 32 year old housewife presenting with DI and secondary amenorrhea, who had a sellar-suprasellar mass on MRI. She underwent a transnasal transsphenoidal surgical removal of the pituitary mass, which was tubercular in nature on histology. She received antitubercular treatment and hormonal replacement therapy. She was well at last follow-up, 3 years after surgery.
authors.affiliation: The Department of Neurosurgery, All India Institute of Medical sciences, New Delhi, India.
authors.forename: G D
authors.initials: GD
authors.lastname: Satyarthee
authors.forename: A K
authors.initials: AK
authors.lastname: Mahapatra
mesh_terms: D000328:Adult; D003919:Diabetes Insipidus / Q000209:etiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010900:Pituitary Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014375:Tuberculoma / Q000150:complications* / Q000473:pathology / Q000601:surgery*