Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas
Background and Importance. Sellar tuberculomas are extremely rare lesions with nonspecific clinical manifestations. The tuberculous infection of the pituitary gland and sellar region is characterized by the presence of an acute or chronic inflammatory reaction and may occur in the absence of systemi...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/961913 |
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| author | Dulce Bonifacio-Delgadillo Yolanda Aburto-Murrieta Citlaltepetl Salinas-Lara Julio Sotelo Ivonne Montes-Mojarro Arturo Garcia-Marquez |
| author_facet | Dulce Bonifacio-Delgadillo Yolanda Aburto-Murrieta Citlaltepetl Salinas-Lara Julio Sotelo Ivonne Montes-Mojarro Arturo Garcia-Marquez |
| author_sort | Dulce Bonifacio-Delgadillo |
| collection | DOAJ |
| description | Background and Importance. Sellar tuberculomas are extremely rare lesions with nonspecific clinical manifestations. The tuberculous infection of the pituitary gland and sellar region is characterized by the presence of an acute or chronic inflammatory reaction and may occur in the absence of systemic tuberculosis. The diagnosis is difficult prior to the surgery. An adequate diagnostic and antituberculous drugs usually result in a good outcome. Clinical Presentation. We report four cases of sellar tuberculoma, 3/1 female/male, age range: 50–57 years. All patients had visual disturbances and low levels of cortisol. Conclusion. The clinical diagnosis of sellar tuberculoma is a challenge and should be suspected when a sellar lesion shows abnormal enhancement pattern and stalk involvement, and absence of signal suppression in FLAIR. |
| format | Article |
| id | doaj-art-7686ff64ca57491f89a9ed10bc2e1057 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-7686ff64ca57491f89a9ed10bc2e10572025-02-03T07:24:36ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/961913961913Clinical Presentation and Magnetic Resonance Findings in Sellar TuberculomasDulce Bonifacio-Delgadillo0Yolanda Aburto-Murrieta1Citlaltepetl Salinas-Lara2Julio Sotelo3Ivonne Montes-Mojarro4Arturo Garcia-Marquez5Hospital Angeles Xalapa, Carretera México-Veracruz No. 560, Esq. Camino a Pastoresa, Colonia Pastoresa, CP 91193, MexicoInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes sur 3877, Colonia la Fama, 14269 Mexico, DF, MexicoInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes sur 3877, Colonia la Fama, 14269 Mexico, DF, MexicoInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes sur 3877, Colonia la Fama, 14269 Mexico, DF, MexicoInstituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Insurgentes sur 3877, Colonia la Fama, 14269 Mexico, DF, MexicoHospital Angeles Xalapa, Carretera México-Veracruz No. 560, Esq. Camino a Pastoresa, Colonia Pastoresa, CP 91193, MexicoBackground and Importance. Sellar tuberculomas are extremely rare lesions with nonspecific clinical manifestations. The tuberculous infection of the pituitary gland and sellar region is characterized by the presence of an acute or chronic inflammatory reaction and may occur in the absence of systemic tuberculosis. The diagnosis is difficult prior to the surgery. An adequate diagnostic and antituberculous drugs usually result in a good outcome. Clinical Presentation. We report four cases of sellar tuberculoma, 3/1 female/male, age range: 50–57 years. All patients had visual disturbances and low levels of cortisol. Conclusion. The clinical diagnosis of sellar tuberculoma is a challenge and should be suspected when a sellar lesion shows abnormal enhancement pattern and stalk involvement, and absence of signal suppression in FLAIR.http://dx.doi.org/10.1155/2014/961913 |
| spellingShingle | Dulce Bonifacio-Delgadillo Yolanda Aburto-Murrieta Citlaltepetl Salinas-Lara Julio Sotelo Ivonne Montes-Mojarro Arturo Garcia-Marquez Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas Case Reports in Medicine |
| title | Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas |
| title_full | Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas |
| title_fullStr | Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas |
| title_full_unstemmed | Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas |
| title_short | Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas |
| title_sort | clinical presentation and magnetic resonance findings in sellar tuberculomas |
| url | http://dx.doi.org/10.1155/2014/961913 |
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