title: Clinical presentation and magnetic resonance findings in sellar tuberculomas.
abstract: Background and Importance. Sellar tuberculomas are extremely rare lesions with nonspecific clinical manifestations. The tuberculous infection of the pituitary gland and sellar region is characterized by the presence of an acute or chronic inflammatory reaction and may occur in the absence of systemic tuberculosis. The diagnosis is difficult prior to the surgery. An adequate diagnostic and antituberculous drugs usually result in a good outcome. Clinical Presentation. We report four cases of sellar tuberculoma, 3/1 female/male, age range: 50-57 years. All patients had visual disturbances and low levels of cortisol. Conclusion. The clinical diagnosis of sellar tuberculoma is a challenge and should be suspected when a sellar lesion shows abnormal enhancement pattern and stalk involvement, and absence of signal suppression in FLAIR.
authors.affiliation: Hospital Angeles Xalapa, Carretera México-Veracruz No. 560, Esq. Camino a Pastoresa, Colonia Pastoresa, CP 91193, Mexico.
authors.forename: Dulce
authors.initials: D
authors.lastname: Bonifacio-Delgadillo
authors.affiliation: Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes sur 3877, Colonia la Fama, 14269 Mexico, DF, Mexico.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Aburto-Murrieta
authors.affiliation: Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes sur 3877, Colonia la Fama, 14269 Mexico, DF, Mexico.
authors.forename: Citlaltepetl
authors.initials: C
authors.lastname: Salinas-Lara
authors.affiliation: Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes sur 3877, Colonia la Fama, 14269 Mexico, DF, Mexico.
authors.forename: Julio
authors.initials: J
authors.lastname: Sotelo
authors.affiliation: Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes sur 3877, Colonia la Fama, 14269 Mexico, DF, Mexico.
authors.forename: Ivonne
authors.initials: I
authors.lastname: Montes-Mojarro
authors.affiliation: Hospital Angeles Xalapa, Carretera México-Veracruz No. 560, Esq. Camino a Pastoresa, Colonia Pastoresa, CP 91193, Mexico.
authors.forename: Arturo
authors.initials: A
authors.lastname: Garcia-Marquez
references.citation: Neurol India. 2003 Dec;51(4):548-50
references.pmid: 14742947
references.citation: Clin Neurol Neurosurg. 1992;94(3):251-2
references.pmid: 1327617
references.citation: J Clin Endocrinol Metab. 1998 Oct;83(10):3454-8
references.pmid: 9768645
references.citation: J Assoc Physicians India. 2007 Jun;55:453-6
references.pmid: 17879504
references.citation: J Clin Neurosci. 2003 Jul;10(4):497-9
references.pmid: 12852896
references.citation: J Neurosci Rural Pract. 2010 Jan;1(1):30-1
references.pmid: 21799616
references.citation: J Clin Neurosci. 2007 May;14(5):477-81
references.pmid: 17346976
references.citation: Br J Neurosurg. 1994;8(2):179-85
references.pmid: 7917089
references.citation: Pituitary. 2008;11(3):313-5
references.pmid: 17786560
references.citation: Pituitary. 2002;5(3):149-53
references.pmid: 12812305
references.citation: J Clin Neurosci. 2003 Sep;10(5):562-6
references.pmid: 12948460
references.citation: Indian J Pathol Microbiol. 2008 Apr-Jun;51(2):269-70
references.pmid: 18603706
references.citation: Ther Umsch. 2011 Jul;68(7):395-401
references.pmid: 21728158
references.citation: Neurosurgery. 1995 May;36(5):1013-5; discussion 1015-6
references.pmid: 7791965
references.citation: J Clin Neurosci. 2009 Dec;16(12):1560-6
references.pmid: 19783148
references.citation: Am J Med. 1973 Jun;54(6):777-81
references.pmid: 4705420
references.citation: Clin Neurol Neurosurg. 2000 Jun;102(2):72-7
references.pmid: 10817892
references.citation: J Infect. 2005 Apr;50(3):193-5
references.pmid: 15780412
references.citation: Acta Neurochir (Wien). 1997;139(6):523-5
references.pmid: 9248585
references.citation: Ann Endocrinol (Paris). 2004 May;65(3):209-12
references.pmid: 15277978
references.citation: Int J Infect Dis. 2006 Jul;10(4):338-9
references.pmid: 16413219
references.citation: Neurol India. 2001 Dec;49(4):407-10
references.pmid: 11799419
references.citation: Pituitary. 2008;11(3):299-306
references.pmid: 17594523
references.citation: Pituitary. 2006;9(3):267-73
references.pmid: 16845602
references.citation: Neurosurgery. 1987 Nov;21(5):721-3
references.pmid: 3696408
references.citation: Acta Neurochir (Wien). 1999;141(7):785-6
references.pmid: 10481794
references.citation: Neurol Sci. 2011 Apr;32(2):301-4
references.pmid: 20886253
references.citation: J Neurol Neurosurg Psychiatry. 1992 Jul;55(7):629
references.pmid: 1640248
references.citation: Clin Neuropathol. 1988 Nov-Dec;7(6):311-3
references.pmid: 3224474
references.citation: Pituitary. 2002;5(3):155-62
references.pmid: 12812306
references.citation: Surg Neurol Int. 2010 Nov 20;1:73
references.pmid: 21170364
references.citation: Neurol India. 2001 Sep;49(3):299-301
references.pmid: 11593251
references.citation: Australas Radiol. 2001 May;45(2):244-6
references.pmid: 11380375
references.citation: J Neurol Sci. 1968 May-Jun;6(3):575-92
references.pmid: 5710146
references.citation: Clin Neurol Neurosurg. 2006 Jun;108(4):353-7
references.pmid: 16644403
references.citation: Acta Reumatol Port. 2010 Apr-Jun;35(2):232-5
references.pmid: 20711095
references.citation: Ann Endocrinol (Paris). 2005 Sep;66(4):340-6
references.pmid: 16392184
references.citation: Neurol Med Chir (Tokyo). 1991 Dec;31(13):991-4
references.pmid: 1726267
references.citation: J Endocrinol Invest. 2000 Mar;23(3):189-92
references.pmid: 10803478
references.citation: J Neurol Neurosurg Psychiatry. 1987 Mar;50(3):360-1
references.pmid: 3559619