Acta Neurochirurgica

, Volume 157, Issue 2, pp 231–233 | Cite as

Coincident pituitary adenoma and sellar meningioma

  • Michael Karsy
  • Joshua Sonnen
  • William T. Couldwell
Letter to the editor - Brain Tumors

Dear Editor,

Although pituitary adenomas are usually the first diagnosis considered for lesions of the sellar and suprasellar region, other presenting lesions can include benign lesions, malignant tumors, aneurysms, pituitary hyperplasia, infections, and cysts [2]. Despite these diverse possibilities, the consideration of coincident tumors in the sellar region has been rare and poorly understood.

We describe the case of a previously healthy, 70-year-old woman who had the concurrence of a pituitary adenoma and a sellar meningioma. She presented to an outside hospital with altered mental status, mutism, and incontinence. Imaging showed a pituitary mass and significant hydrocephalus, which prompted placement of an external ventricular drain and transfer to our institution for further management. The patient’s family had noted a gradual decrease in mental status and increased confusion during the previous 18 months. Evaluation of her pituitary laboratory results suggested she had a...


Meningioma Luteinizing Hormone Pituitary Adenoma Medulloblastoma Chordoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors thank Kristin Kraus, MSc, for editorial assistance with this paper.

Conflicts of interest


Patient consent

The next of kin has consented to use of the case and images.


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Copyright information

© Springer-Verlag Wien 2014

Authors and Affiliations

  • Michael Karsy
    • 1
  • Joshua Sonnen
    • 2
  • William T. Couldwell
    • 1
  1. 1.Department of Neurosurgery, Clinical Neurosciences CenterUniversity of UtahSalt Lake CityUSA
  2. 2.Department of PathologyUniversity of UtahSalt Lake CityUSA

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