Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage

BACKGROUND: Tuberculosis is endemic in many counteries like India. It can infect any site in the central nervous system. However, islolated involvement of the sellar and suprasellar region is rare. Sellar tuberculoma with hemorrhage is even more rare. We present magnetic resonance (MR) findings in c...

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Autores principales: Mittal, Puneet, Dua, Sarika, Saggar, Kavita, Gupta, Kamini
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2997225/
https://www.ncbi.nlm.nih.gov/pubmed/21170364
http://dx.doi.org/10.4103/2152-7806.72624
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author Mittal, Puneet
Dua, Sarika
Saggar, Kavita
Gupta, Kamini
author_facet Mittal, Puneet
Dua, Sarika
Saggar, Kavita
Gupta, Kamini
author_sort Mittal, Puneet
collection PubMed
description BACKGROUND: Tuberculosis is endemic in many counteries like India. It can infect any site in the central nervous system. However, islolated involvement of the sellar and suprasellar region is rare. Sellar tuberculoma with hemorrhage is even more rare. We present magnetic resonance (MR) findings in case of sellar and suprasellar tuberculoma with hemorrhage. CASE DESCRIPTION: A 40-year-old female patient presented with a 1-month history of persistent headache and blurred vision on the left side. A contrast-enhanced MR study revealed peripherally enhancing sellar and suprasellar mass with hemorrhage with compression of the left half of the optic chiasma. There was also evidence of infundibular thickening and enhancement of the adjacent dura. The mass was approached through a transphenoidal approach and was partially resected. Subsequent histopathology was suggestive of tuberculosis. The patient was put on anti-tubercular therapy. Patient reported significant improvement in symptoms. Follow-up MR done 8 months later confirmed complete regression of the mass. CONCLUSION: Because of its rarity, sellar tuberculoma is seldom considered in the differential diagnosis and is often mistaken for pituitary macroadenoma, which is the most common tumor in this region. Although rare, presence of infundibular thickening and enhancement of the adjacent dura should suggest the presence of a granulomatous lesion like tuberculoma.
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spelling pubmed-29972252010-12-17 Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage Mittal, Puneet Dua, Sarika Saggar, Kavita Gupta, Kamini Surg Neurol Int Case Report BACKGROUND: Tuberculosis is endemic in many counteries like India. It can infect any site in the central nervous system. However, islolated involvement of the sellar and suprasellar region is rare. Sellar tuberculoma with hemorrhage is even more rare. We present magnetic resonance (MR) findings in case of sellar and suprasellar tuberculoma with hemorrhage. CASE DESCRIPTION: A 40-year-old female patient presented with a 1-month history of persistent headache and blurred vision on the left side. A contrast-enhanced MR study revealed peripherally enhancing sellar and suprasellar mass with hemorrhage with compression of the left half of the optic chiasma. There was also evidence of infundibular thickening and enhancement of the adjacent dura. The mass was approached through a transphenoidal approach and was partially resected. Subsequent histopathology was suggestive of tuberculosis. The patient was put on anti-tubercular therapy. Patient reported significant improvement in symptoms. Follow-up MR done 8 months later confirmed complete regression of the mass. CONCLUSION: Because of its rarity, sellar tuberculoma is seldom considered in the differential diagnosis and is often mistaken for pituitary macroadenoma, which is the most common tumor in this region. Although rare, presence of infundibular thickening and enhancement of the adjacent dura should suggest the presence of a granulomatous lesion like tuberculoma. Medknow Publications 2010-11-20 /pmc/articles/PMC2997225/ /pubmed/21170364 http://dx.doi.org/10.4103/2152-7806.72624 Text en © 2010 Mittal P http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Mittal, Puneet
Dua, Sarika
Saggar, Kavita
Gupta, Kamini
Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage
title Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage
title_full Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage
title_fullStr Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage
title_full_unstemmed Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage
title_short Magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage
title_sort magnetic resonance findings in sellar and suprasellar tuberculoma with hemorrhage
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2997225/
https://www.ncbi.nlm.nih.gov/pubmed/21170364
http://dx.doi.org/10.4103/2152-7806.72624
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