Verma Rajesh, Patil Tushar B, Lalla Rakesh
Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2014 Mar 27;2014:bcr2013201272. doi: 10.1136/bcr-2013-201272.
Pituitary apoplexy syndrome is characterised by acute neuro-ophthalmological features and usually occurs due to bleeding in a pituitary adenoma. It is an unusual presentation of tuberculoma, as only few similar cases have been reported previously. A 17-year-old girl presented with headache, vomiting, altered sensorium and vision loss. MRI of the brain revealed ring enhancing sellar lesions with other enhancing lesions and leptomeningeal enhancement. Cerebrospinal fluid microscopy, biochemistry and PCR for tuberculosis confirmed tubercular meningitis. The patient was treated with antituberculous therapy and was asymptomatic at the end of treatment.
垂体卒中综合征的特征为急性神经眼科表现，通常由垂体腺瘤出血引起。它是结核瘤的一种不寻常表现，因为此前仅有少数类似病例报道。一名17岁女孩出现头痛、呕吐、意识改变和视力丧失。脑部MRI显示鞍区环形强化病变以及其他强化病变和软脑膜强化。脑脊液显微镜检查、生化检查及结核分枝杆菌聚合酶链反应（PCR）确诊为结核性脑膜炎。该患者接受了抗结核治疗，治疗结束时无症状。
