Intrasellar tuberculoma presenting as pituitary apoplexy.

作者: V Rajshekhar , MJ Arunkumar

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摘要: The combination of apoplectic symptoms and a sellar mass most often points to diagnosis pituitary adenoma. Sellar tuberculomas are not considered as cause 'pituitary apoplexy' there has been no radiological documentation haemorrhage associated with them. We report 27 years old man who presented 3 previous episodes apoplexy. CT scan showed evidence haemorrhage. Transsphenoidal biopsy the intrasellar was reported 'tuberculoma'. patient had marked reduction in size lesion following antituberculous therapy recurrence symptoms. Intrasellar must be one differential when patients present

参考文章(16)
R. S. Maurice-Williams, Tuberculomas of the brain in Britain. Postgraduate Medical Journal. ,vol. 48, pp. 678- 681 ,(1972) , 10.1136/PGMJ.48.565.678
J M Anderson, J J Macmillan, Intracranial tuberculoma--an increasing problem in Britain. Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 38, pp. 194- 201 ,(1975) , 10.1136/JNNP.38.2.194
Josué Pereira, Rui Vaz, Davide Carvalho, Celso Cruz, Thickening of the pituitary stalk: a finding suggestive of intrasellar tuberculoma? Case report. Neurosurgery. ,vol. 36, pp. 1013- 1016 ,(1995) , 10.1227/00006123-199505000-00019
L. M. DeAngelis, Intracranial tuberculoma Case report and review of the literature Neurology. ,vol. 31, pp. 1133- 1133 ,(1981) , 10.1212/WNL.31.9.1133
M. Higuchi, N. Arita, S. Mori, B. Satoh, H. Mori, T. Hayakawa, Pituitary granuloma and chronic inflammation of hypophysis: Clinical and immunohistochemical studies Acta Neurochirurgica. ,vol. 121, pp. 152- 158 ,(1993) , 10.1007/BF01809268
Hiroshi Kudo, Yoshiyuki Takaishi, Hiroaki Minami, Takeshi Takamoto, Souhei Kitazawa, Sakan Maeda, Norihiko Tamaki, Intrasellar meningioma mimicking pituitary apoplexy: case report. Surgical Neurology. ,vol. 48, pp. 374- 381 ,(1997) , 10.1016/S0090-3019(97)00003-7
Marion H. Brooks, Juliet S. Dumlao, David Bronsky, Sheldon S. Waldstein, Hypophysial tuberculoma with hypopituitarism The American Journal of Medicine. ,vol. 54, pp. 777- 781 ,(1973) , 10.1016/0002-9343(73)90065-X
Vincenzo Esposito, Bernardo Fraioli, Luigi Ferrante, Lucio Palma, Intrasellar Tuberculoma: Case Report Neurosurgery. ,vol. 21, pp. 721- 723 ,(1987) , 10.1227/00006123-198711000-00021
JACK D. KIRSHBAUM, TUBERCULOMA OF HYPOPHYSIS WITH INSUFFICIENCY OF ANTERIOR LOBE Archives of Internal Medicine. ,vol. 68, pp. 1095- 1104 ,(1941) , 10.1001/ARCHINTE.1941.00200120054004
C. Arseni, TWO HUNDRED AND ONE CASES OF INTRACRANIAL TUBERCULOMA TREATED SURGICALLY Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 21, pp. 308- 311 ,(1958) , 10.1136/JNNP.21.4.308