A Case of Pituitary Tuberculoma: Case Report.

Cho, Jun; Cho, Byeong Il

Original Article

Journal of Korean Neurosurgical Society 1991;20(5): 366-370.

Departments of Neurosurgery, Kon-Kuk University Medical College, Seoul, Korea.

ABSTRACT

The authors describe a case of pituitary tuberculoma in 45 year old female patient with previous history of tuberculous meningitis. Her clinical complaints were headache, visual field defects and amenorrhea. Endocrinological studies showed hypopitutitarism. Radiological studies including CT showed tumor mass in the sella turcica and suprasella area & paietal lobe. Ramamurthi and Varadarajan described the two types of the intracranial tuberculoma ; 1) A superficial and vascular type requires operation only in selected cases and it responds favoratly to treatment. 2) A deep and avascular type accompanied by increased intracranial tension and a spaecoccupying lesion, which does not respond to medical treatment and requires operation. Removal of the pituitary tuberculoma by T.S.A. followed by antituberculous treatment resulted in resolution of her neurological symptoms and signs.

Key Words: Pituitary tuberculoma; Multiple tuberculoma; Intracranial; Surgical exploration