Aspects IRM de la tuberculose de la région sellaire

Daoud, E.; Mezghani, S.; Fourati, H.; Ketata, H.; Guermazi, Y.; Ayadi, Khalil; Dabbeche, C.; Mnif, J.; Mahfoudh, Kheireddine Ben; Mnif, Z.

doi:10.1016/j.jradio.2011.04.011

Cited by 3 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[24] Other alternatives were used in this review, such as using stereotactic brain biopsy and endoscopic transventricular biopsy. [7,16] e histopathological examinations of pituitary tuberculosis reveal epithelioid cells, granulomas with or without caseation necrosis, Langhan's giant cells, and lymphocytes. e reticulin staining aids in demonstrating the loss of the pituitary's normal reticulin pattern.…”

Section: Discussionmentioning

confidence: 99%

Pediatric sellar-suprasellar tuberculosis: A case report and review of the literature

Elfarissi,

Dahamou,

Dehneh

et al. 2023

Surgical Neurology International

View full text Add to dashboard Cite

Background: Pediatric sellar-suprasellar tuberculosis is a rare form of tuberculosis that affects the pituitary gland and surrounding areas in the brain. It can be difficult to diagnose based on clinical and radiological signs alone, as they can be similar to other pituitary masses. A combination of biological, hormonal, and imaging examinations can aid in making an accurate diagnosis. It is important to consider tuberculosis in the differential diagnosis of sellar-suprasellar masses in the pediatric population, especially in areas with a high prevalence of tuberculosis. Case Description: A 17-year-old male with no history of illness showed up with a series of symptoms, including headaches and vision problems. A sellar-suprasellar lesion was seen on imaging, along with several minor lesions. The diagnosis of tuberculosis meningitis with cerebral and pituitary tuberculoma was made after cerebrospinal fluid analysis revealed the presence of tuberculosis. Treatment with anti-tuberculosis drugs led to clinical improvement and lesion resolution. Conclusion: Children’s sellar tuberculomas can be difficult to diagnose since they resemble other pituitary tumors. It is essential to take them into account in the differential diagnosis, especially in regions with a high incidence of tuberculosis. Long-term chemotherapy is the recommended course of treatment, and monthly follow-up visits are necessary to check hormone levels and evaluate whether a permanent hormone replacement is necessary.

show abstract

Section: Discussionmentioning

confidence: 99%

Pediatric sellar-suprasellar tuberculosis: A case report and review of the literature

Elfarissi,

Dahamou,

Dehneh

et al. 2023

Surgical Neurology International

View full text Add to dashboard Cite

show abstract

“…The primary subtype arises from hematogenous seeding of a systemic infection or local spread from a regional infection such as paranasal sinusitis (especially sphenoid sinusitis), meningitis, and cavernous venous thrombophlebitis [5, 8]. PA can develop secondary to preexisting conditions such as a pituitary adenoma, Rathke’s cleft cyst, craniopharyngioma, granulomatous disease, or autoimmune lymphocytic hypophysitis (in children) [9, 10, 11]. Secondary PA is also a well-known but rare complication of pituitary surgical procedures or radiation interventions [8, 12, 13].…”

Section: Discussionmentioning

confidence: 99%

“…He did not have diabetes insipidus. Relevant blood screening results were as follows: TSHus, 0.25 (0.5–5); FT4, 0.7 ng/dl (1–2); ACTH (8:00 a.m.), 5 pg/ml (10–40); cortisol, 3 μg/dl (10–20); FSH, 0.7 IU/L (1–10); LH, 0.5 IU/L (0.7–7.9 [ages 20–70 years]); testosterone, 50 ng/dl (200–900 [male age > 19]); GH, 1.5 ng/ml (< 5 [men]); CRP, 3 mg/L (< 3.0); and WBC, 9.7 × 10 9 /L (4.0–11.0 × 10 9 /L).…”

Section: Case Presentationmentioning

confidence: 99%

Pituitary abscess: two case reports

et al. 2019

View full text Add to dashboard Cite

BackgroundPituitary abscess is a rare condition with nonspecific symptoms that can be delayed. Proper diagnosis needs to occur preoperatively so that the management can be set up accordingly. Accurate diagnosis is challenging because many differential diagnoses can exhibit the same magnetic resonance imaging features.Case presentationWe report two cases of pituitary abscess. The first patient was a 66-year-old Arab woman who underwent a surgical procedure for a pituitary macroadenoma and presented 3 months later with chronic headaches and panhypopituitarism. A pituitary abscess was found on the follow-up magnetic resonance imaging. The second patient was a 64-year-old Arab man with no medical history who presented with a chiasmal syndrome with headaches and panhypopituitarism. Brain magnetic resonance imaging showed a heterogeneous pituitary mass that turned out to be a pituitary abscess intraoperatively. These two patients were treated with hormone substitution, endoscopic transsphenoidal drainage, and antibiotherapy, with excellent outcomes.ConclusionsPituitary abscess is a rare and serious condition. Preoperative diagnosis can be challenging because of the many existing differential diagnoses upon imaging. Magnetic resonance imaging is the mainstay technique of imaging due to its multimodal nature. These cases demonstrate the variable patterns of a pituitary abscess seen on magnetic resonance imaging and the potential difficulties in achieving an accurate diagnosis preoperatively due to many other conditions potentially exhibiting the same magnetic resonance imaging features.

show abstract

A study of neuroendocrine dysfunction in patients of tuberculous meningitis

Verma

Garg

et al. 2017

Journal of the Neurological Sciences

View full text Add to dashboard Cite

Aspects IRM de la tuberculose de la région sellaire

Cited by 3 publications

References 15 publications

Pediatric sellar-suprasellar tuberculosis: A case report and review of the literature

Pediatric sellar-suprasellar tuberculosis: A case report and review of the literature

Pituitary abscess: two case reports

A study of neuroendocrine dysfunction in patients of tuberculous meningitis

Contact Info

Product

Resources

About