Hypophyseal tuberculomas are exceptionally rare. We report two patients with sellar tuberculoma but with no evidence of concurrent extrasellar disease. Although the lesion is often mistaken for adenoma, there are characteristic radiological features: intense enhancement on contrast CT and thickening of the pituitary stalk on MRI in 86% of cases. Accurate diagnosis is important because pituitary tuberculoma is curable.
KeywordsEndocrine hypophysis sella tuberculoma
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- 2.Coleman CC, Meredith JM (1940) Diffuse tuberculosis of the pituitary gland simulating tumor, with postoperative recovery. Arch Neurol Psych 44: 1076–1085.Google Scholar
- 3.De Angelis LM (1981) Intracranial tuberculoma: case report and review of the literature. Neurology 31: 1133–1136Google Scholar
- 4.Delsedine M, Aguggia M, Cantello R,et al (1988) Isolated hypophyseal tuberculoma: case report. Clin Neuropathol 7: 311–313Google Scholar
- 8.Lever AML (1996) Meningitis. Medicine 24: 34–38Google Scholar
- 9.Maurice-Williams RS (1972) Tuberculomas of the brain in Britain. J Postgrad Med 48: 678–681Google Scholar