Clinical Presentation and Magnetic Resonance Findings in Sellar Tuberculomas
| Autor: | Dulce Bonifacio-Delgadillo, Yolanda Aburto-Murrieta, Citlaltepetl Salinas-Lara, Julio Sotelo, Ivonne Montes-Mojarro, Arturo Garcia-Marquez |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Case Reports in Medicine, Vol 2014 (2014) |
| Druh dokumentu: | article |
| ISSN: | 1687-9627 1687-9635 |
| DOI: | 10.1155/2014/961913 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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