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Case Reports
. 2016 Apr-Jun;11(2):175-6.
doi: 10.4103/1793-5482.177658.

Supra-sellar tubercular abscess

Vijay P Joshi  1 , Amit Agrawal  2 , Anand Mudkanna  3 , S S Rudrakshi  4 , G P Kelkar  4
Affiliations
Case Reports

Supra-sellar tubercular abscess

Vijay P Joshi et al. Asian J Neurosurg. 2016 Apr-Jun.

Abstract

Intracranial tuberculomas are less common lesions; sellar, suprasellar, or parasellar involvement is further rarer with only few case reports in the literature. We describe a case of 44-year-old female, discussing the imaging findings that were managed successfully for tubercular hypothalamic-pituitary abscesses.

Keywords: Abscess; hypothalamic abscess; magnetic resonance imaging; sellar; tubercular abscess; tuberculoma; tuberculosis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
MRI T1W axial images (a) Hypointense lesion becoming hyperintense lesion on T2W image, (b) Restricted diffusion on DW images, (c) and Contrast enhanced MRI, (d, e and f) Axial, sagittal and coronal images showing a large cystic ring enhancing lesion in the suprasellar region with multiple small ring enhancing lesions
Figure 2
Figure 2
Left image showing multiple epithelioid cell granulomas with Langhan type giant cells and mixed inflammatory infilterate (H and E, ×10), right image high power view of the same focus showing Langhan type giant cell surrounded by epithelioid cells (H and E, ×10)
Figure 3
Figure 3
Follow up sagittal image shows that the abscess was largely disappeared
See this image and copyright information in PMC

References

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