Turkish Neurosurgery 2001 , Vol 11 , Num 3-4
ISOLATED SELLAR TUBERCULOMA WITH A THICKENED PITUITARY STALK: CASE REPORT
Metin TUNA1, Tahsin ERMAN1, Faruk İLDAN1, Alp İskender GÖÇER1, Suzan ZORLUDEMİR2, Sebahattin HACIYAKUPOĞLU1
1Çukurova University School of Medicine Department of Neurosurgery, Adana
2Çukurova University School of Medicine Department of Pathology, Adana
This report is of a patient with an isolated sellar tuberculoma with suprasellar extension in association with thickening of the pituitary stalk who presented with signs and symptoms of hypopituitarism. Magnetic resonance imaging showed a sellar mass with suprasellar extension associated with thickening of the pituitary stalk. Endocrinological parameters indicated hypopituitarism. The patient underwent a transsphenoidal procedure. The pathological diagnosis was of a typical structure of tuberculoma. if a pituitary tumor with suprasellar extension in association with the thickening of the pituitary stalk is suspected, the possibility of sellar tuberculoma must be considered in the differential diagnosis of nonsecreting sellar masses, even when no history of tuberculosis exists. Keywords : Granulomatous hypophysitis, pituitary stalk, sellar tuberculoma
Corresponding author : Metin Tuna