An Atypical Sellar Mass: Sellar Tuberculoma in a Young Patient - Case Report


  • Arwa Moiz Jamali Final M.B.B.S Part -2, GMERS Medical College (Maharaja Sayajirao University), Vadodara ,India.
  • Rakeshkumar Luhana MS, DNB (Neurosurgery), Fellowship in Spine Surgery (Toronto),Fellowship in Advanced Neurosurgery (Japan), Venus Superspecialty Hospital, Vadodara, India.



Intracranial Tuberculoma, Pituitary Disease, Antitubercular Agents, Case Reports


BACKGROUND: Central nervous system involvement, though uncommon, is one of the most severe form of tuberculosis. Its manifestations include tuberculoma and tuberculous meningitis, with the majority of cases affecting children and immunocompromised patients. Overall, tuberculomas account for 0.15–2 % of all intracranial lesions but sellar tuberculoma is extremely rare.

THE CASE:18 yr. old female patient presented with complain of generalized weakness ,eye pain, headache since 3-4 months .Brain Magnetic resonance imaging (MRI)showed sellar and suprasellar space occupying lesion. Trans sphenoidal approach was used to remove the lesion completely .The pathological evaluation confirmed a tuberculoma and the patient was put on postoperative anti-tubercular therapy.

CONCLUSION: Although rare, intracranial tuberculomas, particularly those that originate in the sellar, are notorious for mimicking pituitary tumours by jeopardizing pituitary hormonal function and applying compressive forces on surrounding intracranial structures. However, a prompt assessment can help overcome this diagnostic difficulty with the timely initiation of anti-tubercular therapy (ATT).


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Global tuberculosis report 2022. Geneva: World Health Organization; 2022. Licence: CC BY-NC-SA 3.0 IGO.

DeLance AR, Safaee M, Oh MC, Clark AJ, Kaur G, Sun MZ, et al. Tuberculoma of the central nervous system. Journal of Clinical Neuroscience [Internet]. 2013 Oct 1;20(10):1333–41. Available from:

Ayele, Biniyam & Wako, Abdinasir & Shewaye, Abate & Tessema, Abdi. (2019). SELLAR TUBERCULOMA: A RARE PRESENTATION IN A 30 YEAR-OLD ETHIOPIAN WOMAN: CASE REPORT. African Journal of Neurological Sciences. 38. 50-53.

Dastur HM. Tuberculoma. In: Vinken PJ, Bruyn GW, editors. Handbook of Clinical Neurology, vol. 18. New York: American Elsevier, 1975:413–26.

DeAngelis LM. Intracranial tuberculoma: case report and review of the literature. Neurology 1981;31:1133–6.

Maurice-Williams RS. Tuberculomas of the brain in Britain. J Postgrad Med 1972;48:679–81.

Ranjan A, Chandy MJ. Intrasellar tuberculoma. Br J Neurosurg 1994;8:179 85.

Kumar T, Nigam JS, Jamal I, Jha VC. Primary pituitary tuberculosis. Autopsy Case Reports. 2021;11.

Furtado SV, Venkatesh PK, Ghosal N, Hegde AS. Isolated sellar tuberculoma presenting with panhypopituitarism: clinical, diagnostic considerations and literature review. Neurol Sci. 2011;32: 301–4.

Pereira J, Vaz R, Carvalho D, Cruz C. Thickening of the pituitary stalk: A finding suggestive of intrasellar tuberculoma? Case report. Neurosurgery 1995;36:1013 5.

Prabha B, Rangachari V, Subramaniam V, Gopan TV, Baliga V. Pituitary tuberculoma masquerading as a pituitary adenoma: Interesting case report and review of literature. Asian Journal of Neurosurgery [Internet]. 2021 Mar 1;16(01):141–3. Available from:

Fatma Ben Abid, et al. “Primary Pituitary Tuberculosis Revisited.” American Journal of Case Reports, vol. 18, 12 Apr. 2017, pp. 391–394,




How to Cite

Jamali, A. M., & Luhana, R. (2023). An Atypical Sellar Mass: Sellar Tuberculoma in a Young Patient - Case Report. International Journal of Medical Students, 11, S58.



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