Sellar Colloid Cyst—An Anatomically Aberrant and Diagnostically Challenging Entity: Report of a Rare Case with Literature Review

Autor: Syed Asmat Ali, Kavita Gaur, Arvind Kumar Srivastava, Ravindra Kumar Saran
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Indian Journal of Neurosurgery, Vol 08, Iss 03, Pp 211-215 (2019)
Druh dokumentu: article
ISSN: 2277-954X
2277-9167
DOI: 10.1055/s-0039-1698847
Popis: The sellar colloid cyst is a rare entity anatomically occurring at the intermediate lobe of the pituitary gland. Clinically a cystic sellar lesion with pressure effects usually evokes the suspicion of a pituitary adenoma. We present the case of a middle-aged woman presenting with visual diminution and bilateral optic atrophy, caused by a large sellar lesion, variably intense on magnetic resonance imaging (MRI). The subsequent histologic diagnosis of a colloid cyst was unexpected. This report highlights the subtle intraoperative and diagnostic features key to diagnosing this rarity. We also discuss a practical differential diagnostic approach relevant to the practicing surgeon and review the existing literature.
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