CC-BY-NC-ND 4.0 · IJNS 2018; 07(01): 039-042
DOI: 10.1055/s-0037-1599787
Images in Neurosurgery
Thieme Medical and Scientific Publishers Private Ltd.

Sellar and Suprasellar Tuberculoma

Manpreet Singh Banga
Department of Neurosurgery, Nil Ratan Sircar Medical College, Sealdah, Kolkata, West Bengal, India
,
Kaushik Roy
Department of Neurosurgery, Nil Ratan Sircar Medical College, Sealdah, Kolkata, West Bengal, India
,
Sandeep B. V.
Department of Neurosurgery, Nil Ratan Sircar Medical College, Sealdah, Kolkata, West Bengal, India
,
Sibaji Dasgupta
Department of Neurosurgery, Nil Ratan Sircar Medical College, Sealdah, Kolkata, West Bengal, India
› Author Affiliations
Further Information

Publication History

Received: 28 June 2016

accepted after revision: 17 October 2016

Publication Date:
23 March 2017 (eFirst)

Abstract

Tuberculosis is responsible for 20% of the intracranial space-occupying lesions in India, and tuberculomas of the sellar and suprasellar region comprise only 1% of all intracranial tuberculomas. The clinical and radiological features of these lesions mimic a typical pituitary adenoma. Surgery is not usually indicated, except for obtaining biopsies to confirm diagnosis, as these lesions tend to resolve with appropriate antitubercular therapy. There is no consensus regarding the type of antitubercular regimen and duration of the treatment as the experience with tuberculomas of pituitary is limited. We report a rare case of hypophyseal tuberculosis in a patient as a sequela of tuberculous meningitis, which is a rare complication of tubercular meningitis.