Chelaïfa K, Bouzaïdi K, Azaïz O, Ridène I, Ben Messaoud M, Slim R
Service de Radiologie, Hôpital La Rabta, Tunis, Tunisie.
J Neuroradiol. 2003 Jun;30(3):188-91.
Although rare, the possibility of pituitary tuberculoma should be considered in the diagnosis of non-pituitary intrasellar masses, especially in an endemic area and if radiologic imaging shows pituitary stalk thickening. We describe the case of a 52-year-old patient who presented tuberculous meningitis complicated by a pituitary abscess. He was treated with antituberculous drugs. The follow-up MRI 16 and 48 months later showed the decreased size of the pituitary mass. Radiological features and a review of the literature of pituitary tuberculoma are briefly discussed.
尽管垂体结核瘤较为罕见,但在诊断非垂体鞍内肿块时应考虑其可能性,尤其是在地方病区,且放射影像学显示垂体柄增粗时。我们报道了一例52岁患者,其患有结核性脑膜炎并伴有垂体脓肿。患者接受了抗结核药物治疗。16个月和48个月后的随访磁共振成像显示垂体肿块体积减小。本文简要讨论了垂体结核瘤的放射学特征及相关文献回顾。