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      Isolated sellar tuberculoma presenting with panhypopituitarism: clinical, diagnostic considerations and literature review.

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          Abstract

          Tuberculosis, a common cause for chronic intracranial infections can mimic varied intracranial pathologies including tumours. Pituitary tuberculomas are rare lesions and are often diagnosed pre-operatively as pituitary tumours. We report a case of a 31-year-old lady with a sellar-suprasellar lesion who presented with panhypopituitarism. The patient underwent a trans-nasal, trans-sphenoidal surgical decompression of the lesion. Histopathology revealed a tuberculous lesion in the pituitary. The characteristic radiological features of sellar tuberculomas are discussed along with a review of literature. Atypical sellar radiology in the presence of a thickened pituitary stalk could point to pathology other than pituitary adenoma, possibly a chronic inflammatory condition like tuberculoma.

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          Author and article information

          Journal
          Neurol. Sci.
          Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
          Springer Nature America, Inc
          1590-3478
          1590-1874
          Apr 2011
          : 32
          : 2
          Affiliations
          [1 ] Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, EPIP Area, Whitefield, Bangalore, 560066, Karnataka, India. sunilvf@gmail.com
          Article
          10.1007/s10072-010-0409-z
          20886253
          a0bcd4ef-e458-4605-85b0-6c8914b074be
          History

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