Advertisement

Pituitary

, Volume 18, Issue 4, pp 579–580 | Cite as

A rare case of pituitary tuberculoma-diagnosed and managed conservatively

  • Ankur Jain
  • Dinesh K. Dhanwal
  • Jyoti Kumar
Letter to the Editor
  • 162 Downloads

To,

The editor-in-chief,

Sir, we report a case of a 25-years-old girl who presented to our hospital with bilateral diminution of vision since 10 days. Patient had low grade continuous fever, with evening rise of temperature, dry cough, weight loss, anorexia and headache associated with recurrent vomiting since 1 month, followed after 20 days by retro-orbital pain and visual blurring. On examination, patient was febrile but conscious and oriented. Vitals were BP-110/62 mm hg, pulse rate-92/min. There was pallor, but no icterus, clubbing, lymphadenopathy, loss of secondary sexual characters or postural hypotension. CNS examination revealed presence of meningeal signs, bilateral lateral rectus palsy, sluggishly reacting bilateral pupils with presence of relative afferent papillary defect and fundus examination revealed papilloedema. Rest of the CNS, cardiovascular, respiratory and abdomen examination were unremarkable. Patient’s investigations revealed- Hemoglobin-105gm/L, total...

Keywords

Ofloxacin Tuberculin Skin Test Optic Neuritis Visual Evoke Potential Polymerase Chain Reaction Result 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

Authors have no conflicts of the interests.

References

  1. 1.
    Coleman CC, Meredith JM (1940) Diffuse tuberculosis of the pituitary gland simulating tumor, with postoperative recovery. Arch Neurol Psychiatry 44:1076–1085CrossRefGoogle Scholar
  2. 2.
    Paramo C, de Fuente L, Nodar A, Miramontes S, Quintela JL, Garcia-Mayor RV (2002) Intrasellar tuberculoma: a difficult diagnosis. Infection 30:35–37PubMedCrossRefGoogle Scholar
  3. 3.
    Singh S (2003) Pituitary tuberculoma: magnetic resonance imaging. Neurol India 51:548–550PubMedGoogle Scholar
  4. 4.
    Sinha S, Singh AK, Tatke M, Singh D (2000) Hypophyseal Tuberculoma: direct Radiosurgery is contraindicated for a lesion with a thickened pituitary stalk: case report. Neurosurgery 46:735–738PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of MedicineMaulana Azad Medical CollegeNew DelhiIndia
  2. 2.Department of EndocrinologyMaulana Azad Medical CollegeNew DelhiIndia
  3. 3.Department of RadiodiagnosisMaulana Azad Medical CollegeNew DelhiIndia

Personalised recommendations