Primary Pituitary tubercular Abscess: A Case Report

  • Yam Bahadur Roka Department of Neurosurgery, Neuro Cardio and MultiSpeciality Hospital, Biratnagar, Nepal
  • Narayani Roka Department of Ophthalmology, Neuro Cardio and MultiSpeciality Hospital, Biratnagar, Nepal
  • Sagar Raj Pandey Department of Pathology, Neuro Cardio and MultiSpeciality Hospital, Biratnagar, Nepal
Keywords: abscess; pituitary; pyogenic; sella; tuberculosis.

Abstract

Primary pituitary tubercular abscess is a very rare and the majority are reported as case reports. It may present clinically with visual loss, headache, seizure, hormonal abnormalities or with cranial nerve palsies. MRI is the diagnostic modality and shows a cystic-solid mass in the sellar and suprasellar region, isointense on T1 and T2W images with heterogeneous areas and ring enhancement on contrast. Surgery remains the initial treatment and it is approached through the trans-sphenoidal/ trans-nasal or transcranial route followed by anti-Tubercular therapy. We report a case of PTA managed successfully with a brief review of its pathology.

Published
2019-06-30
How to Cite
Roka, Y. B., Roka, N., & Pandey, S. R. (2019). Primary Pituitary tubercular Abscess: A Case Report. Journal of Nepal Medical Association, 57(217). https://doi.org/10.31729/jnma.4433
Section
Case Reports