Primary pituitary tubercular abscess as a differential diagnosis for sellar suprasellar mass

Br J Neurosurg. 2019 Aug;33(4):437-438. doi: 10.1080/02688697.2017.1358355. Epub 2017 Jul 25.

Abstract

Only four cases of primary pituitary tubercular abscess have been reported. A 20-year-old ladypresented to us with headache and pituitary dysfunction. Radiology showedsellar tubercular abscess with suprasellar extension. Microscopic examination of pus collected during surgery showed granulomatous tissues and Acid Fast Bacilli. The response to antitubercular therapy was remarkable.

Keywords: Sellar lesion; brain abscess; craniopharyngioma; tubercular abscess; tuberculosis.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Brain Abscess / diagnosis*
  • Craniopharyngioma / diagnosis
  • Diagnosis, Differential
  • Female
  • Headache Disorders / etiology
  • Humans
  • Magnetic Resonance Imaging
  • Pituitary Diseases / diagnosis*
  • Pituitary Diseases / surgery
  • Pituitary Neoplasms / diagnosis
  • Tuberculosis, Central Nervous System / diagnosis*
  • Tuberculosis, Central Nervous System / drug therapy
  • Young Adult

Substances

  • Antitubercular Agents