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Published on: January 17, 2018
Suprasellar tuberculoma presenting as panhypopituitarism
Uma Su Sundar1, Vishal V Ramteke, Meghna S Vaidya
1Dept of Medicine, LTM Medical College and General Hospital, Sion, Mumbai-400 022.
Abstract:
Suprasellar tuberculomas are exceptionally rare. We present the case of a middle aged male who presented with generalised apathy and meningism of two weeks duration. Neuroimaging was suggestive of tuberculomas in suprasellar cistern, while endocrinological investigation showed panhypopituitarism manifesting as pituitary hypothyroidism, hypocortisolism, and hyperprolactinemia. Cerebrospinal fluid examination showed lymphocytic reaction with raised proteins. A diagnosis of suprasellar tuberculoma with panhypopituitarism was made. The patient was started on antituberculous treatment and hormone replacement which led to remarkable improvement in condition of patient and resolution of tuberculous granuloma in follow up imaging.
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