Skip to main content

Advertisement

Log in

Suprasellar tubercular abscess presenting as panhypopituitarism: A common lesion in an uncommon site with a brief review of literature

  • Case Report
  • Published:
Pituitary Aims and scope Submit manuscript

Abstract

Following widespread use of imaging, detection rate of abnormal sites of parenchymal neuro-tuberculosis is on a rise. A handful of cases of tuberculomas/abscesses in hypothalamo-pituitary region have been reported and most of them are diagnosed on surgical histopathology. We describe a patient of suprasellar tubercular abscess, who presented with visual disturbances, diabetes insipidus with panhypopituitarism and on histopathology had granulomas and positive acid fast bacilli.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bhargava S, Tandon PN (1980) Intracranial tuberculomas, a CT study. Br J Radiol 53:935–945

    Article  CAS  PubMed  Google Scholar 

  2. Ranjan A, Chandy MJ (1994) Intrasellar tuberculoma. Br J Neurosurg 8:179–185

    CAS  PubMed  Google Scholar 

  3. Tandon PN, Singh B, Mahapatra LN, Kumar M, Dus S (1970) Experimental tuberculosis of the central nervous system. Neurol India 18:81–85

    CAS  PubMed  Google Scholar 

  4. Schlagenhafer O (1916) Zur Kachexie hypophysaren ursprungs. Virch Arch of path Anat 222:249

    Article  Google Scholar 

  5. Coleman CC, Meredith JM (1940) Diffuse tuberculosis of the pituitary gland simulating tumor, with postoperative recovery. Arch Neurol Psych 44:1076–1085

    Google Scholar 

  6. Brooks MH, Dumlao JS, Bronsky D, et al. (1973) Hypophyseal tuberculoma with hypopituitarism. Am J Med 54:777–781

    Article  CAS  PubMed  Google Scholar 

  7. Esposito V, Fraioli B, Ferrante L, et al. (1987) Intrasellar tuberculoma: case report. Neurosurgery 21:721–723

    CAS  PubMed  Google Scholar 

  8. Eckland DJA, O’Neil JH, Lightman SL (1987) A pituitary tuberculoma. J Neurol Neurosurg Psychiatry 50:360–361

    Article  CAS  PubMed  Google Scholar 

  9. Delsedine M, Aguggia M, Cantello R, et al. (1988) Isolated hypophyseal tuberculoma: case report. Clin Neuropathol 7:311–313

    Google Scholar 

  10. Taparia SC, Tyagi G, Singh AK, et al (1992) Sellar tuberculoma (letter). J Neurol Neurosurg Psychiatry 55:629

    CAS  PubMed  Google Scholar 

  11. Ghosh S, Chandy MJ (1992) Intrasellar tuberculoma. Clin Neurol Neurosurg 94:251–252

    Article  CAS  PubMed  Google Scholar 

  12. Poon WS, Ahuja A, Li AKC (1993) Optochiasmatic tuberculoma causing progressive visual failure: when medical treatment failed. PostPostgrad Med J 69:147–149

    Article  CAS  Google Scholar 

  13. Gucuyener K, Baykaner MK, Keskil IS, et al. (1993) Tuberculoma in the suprasellar cistern: possible CT misinterpretation as aneurysm. Pediatr Radiol 23:153–154

    Article  CAS  PubMed  Google Scholar 

  14. Pereira J, Viz R, Carvatho D, Cruz C (1995) Thickening of the pituitary stalk: a finding suggestive of intrasellar tuberculomas. Neurosurgery 36:1013–1016

    CAS  PubMed  Google Scholar 

  15. Altunbasak S, Bsaytok V, Alhan E, et al. (1995) Suprasellar tuberculoma causing endocrinologic disorders and imitating craniopharyngioma. Pediatry Neurosurg 23:328–331

    CAS  Google Scholar 

  16. Ashkan K, Papadopoulos MG, Casey AT, et al. (1997) Sellar tuberculoma: report of two cases. Acta Neuro Chirurgiea 139:523–525

    CAS  Google Scholar 

  17. Manghani OK, Gaitonde PS, Dastur DK (2001) Pituitary tuberculoma a case report. Neurol India 99:299–301

    Google Scholar 

  18. Jain R, Kumar R (2001) Suprasellar tuberculoma presenting with diabetes insipidus and hypothyroidism—a case Report. Neurol India 49:314–316

    CAS  PubMed  Google Scholar 

  19. Whitner DR (1978) Tuberculous brain abscess: report of a case and review of literature. Arch Neurol 35:148–155

    Google Scholar 

  20. Tyson G, Newman P, Strachan WE (1978) Tuberculous brain abscess. Surg Neurol 323–335

    Google Scholar 

  21. Rand CW (1935) Tuberculous abscess of the brain secondary to tuberculosis of the caecum. Surg Gynaecol Obstetr 60:229–38

    Google Scholar 

  22. Bannister CM (1970) A tuberculous abscess of the brain case report. J Neurosurg 33:203–206

    Article  CAS  PubMed  Google Scholar 

  23. Jain VK, Chandramukhi A, Venkataramana NK, Das BS, Gukul BN, Vasudev Rao T (1989) The far cry of a TB brain: report of a case of tuberculous meningitis, multiple tuberculomas and tuberculous abscess. Clin Neurol Neurosurg 91:171–176

    CAS  PubMed  Google Scholar 

  24. Prakash B, Mehta G, Gandal R, Kumar S, Malhotra V (1989) Tuberculous abscess of the brain stem. Surg Neurol 32:445–448

    Article  CAS  PubMed  Google Scholar 

  25. Arunkumar MJ, Rajshekhar V (2001) Intrasellar tuberculoma presenting as pituitary apoplexy. Neurol India 99:407–410

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anil Bhansali.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dutta, P., Bhansali, A., Singh, P. et al. Suprasellar tubercular abscess presenting as panhypopituitarism: A common lesion in an uncommon site with a brief review of literature. Pituitary 9, 73–77 (2006). https://doi.org/10.1007/s11102-006-5420-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11102-006-5420-2

Keywords

Navigation