Intrasellar Tuberculosis Presenting as Pituitary Apoplexy: A Case Report

Patients presenting with acute onset of headache and ophthalmoplegia are clinically diagnosed as having a pituitary adenoma with apoplexy. Rarely, other diseases can mimic this condition clinically and radiologically, requiring a high index of suspicion to reach the correct diagnosis. We present a case of a 37-year-old male of Indian origin, who had intra- and supra-sellar tuberculosis (TB), presenting with classical clinical features of pituitary apoplexy and constitutional symptoms. Following surgery, he was started on anti-tuberculous therapy, and his condition improved over the next few months. Intrasellar tuberculoma should be considered among the differential diagnoses, especially in persons coming from areas endemic for TB, and in immunocompromised patients.