Pitutary tuberculoma: A verycommon pathology in a very uncommon location

Abstract

Pituitary Tuberculoma is extremely rare, even in developing countries where tuberculosis is endemic with total reported cases in the literature fewer than a hundred. Misdiagnosis as pituitary adenoma is common and late diagnosis can result in a permanent endocrine dysfunction and/or long-term neurologic sequela. Pituitary Tuberculoma, and mimicking adenomas are very unusual. We report a small case series of a patient with sellar/ suprasellar mass, who presented with severe headache, all these patients didn’t have any previous history of tuberculosis and radiological and microbiological evidence of Tuberculosis elsewhere in the body. All these patients underwent endoscopic transsphenoidal resection of the mass and histo pathological examination was suggestive of pituitary Tuberculoma. Antituberculous therapy was started and continued for one year, all three patients had good control of the disease and hormonal profile was normal at the end of one year, though all three patients required a small dose of steroid (Prednisolone 5mg) for the initial three months after surgery.