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BMJ Case Rep. 2014 Mar 27;2014. pii: bcr2013201272. doi: 10.1136/bcr-2013-201272.

Pituitary apoplexy syndrome as the manifestation of intracranial tuberculoma.

Author information

1
Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India.

Abstract

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.

PMID:
24675800
PMCID:
PMC3975567
DOI:
10.1136/bcr-2013-201272
[Indexed for MEDLINE]
Free PMC Article

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