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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Endocrinology, Diabetes, and Metabolism

Section of Diabetes, Endocrinology and Metabolism

2018

Bitemporal hemianopsia

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Pituitary Tuberculoma, Amir Humza Sohail, Umar Farooq Bhatti, Najmul Islam Jun 2018

Pituitary Tuberculoma, Amir Humza Sohail, Umar Farooq Bhatti, Najmul Islam

Section of Diabetes, Endocrinology and Metabolism

Tuberculosis rarely involves the hypothalamo-pituitary region and constitutes only 1% of the lesions involving the sellar and/or suprasellar region. Coleman and Meredith first reported pituitary tuberculosis in 1940, and only a handful of cases have been reported ever since. It may manifest as a chiasmal syndrome due to compression of the optic chiasm or as hypopituitarism due to pituitary destruction. It has a characteristic radiological appearance and can mimic a pituitary adenoma. Diagnostic procedures, such as trans-sphenoidal biopsy, are crucial for accurate diagnosis. We report a case of a 32-year male, who presented with complaints of headache and decreased visual …