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Neurosurgery. 1995 May;36(5):1013-5; discussion 1015-6.

Thickening of the pituitary stalk: a finding suggestive of intrasellar tuberculoma? Case report.

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Department of Neurosurgery, Faculty of Medicine of Oporto, Hospital de Saint, João Porto, Portugal.


We describe the case of a patient with an exclusively intrasellar mass, disclosed because of a left sixth nerve palsy and headaches. No other manifestation of disease, namely, endocrinological, was present. The lesion was approached transsphenoidally, and the pathological examination revealed a tuberculoma. Complete removal was achieved, and the patient started postoperative antituberculous therapy. In some circumstances, thickening of the infundibulum and the pituitary stalk could preoperatively suggest the diagnosis of hypophysial tuberculoma.

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