Agrawal Vivek Mahesh, Giri Pramod Janardhan
Department of Neurosurgery, Superspeciality Hospital and Government Medical College, Nagpur, Maharashtra, India.
J Neurosci Rural Pract. 2019 Apr-Jun;10(2):327-330. doi: 10.4103/jnrp.jnrp_332_18.
Isolated sellar tuberculoma is a very rare condition and usually presents with headache and decreased vision. It can present with panhypopituitarism with 3 nerve palsy. Tuberculoma mimics pituitary adenoma clinically as well as radiologically and requires endoscopic transsphenoidal surgery and histopathological examination for the final diagnosis. We present a rare case of a 40-year-old female presented with headache, decreased vision, and unilateral 3 nerve palsy with panhypopituitarism.
孤立性鞍区结核瘤是一种非常罕见的病症,通常表现为头痛和视力下降。它可伴有全垂体功能减退及动眼神经麻痹。结核瘤在临床和影像学上都酷似垂体腺瘤,最终诊断需要经鼻蝶窦内镜手术及组织病理学检查。我们报告一例罕见病例,一名40岁女性,表现为头痛、视力下降、单侧动眼神经麻痹伴全垂体功能减退。