Primary Pituitary tubercular Abscess: A Case Report

• Main Authors: Yam Bahadur Roka, Narayani Roka, Sagar Raj Pandey
• Format: Article
• Language: English
• Published: Nepal Medical Association 2019-06-01
• Series: Journal of Nepal Medical Association
• Subjects: abscess; pituitary; pyogenic; sella; tuberculosis.
• Online Access: https://www.jnma.com.np/jnma/index.php/jnma/article/view/4433

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.