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2006, Number 1

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Cir Cir 2006; 74 (1)

Neurocysticercosis associated with pituitary adenoma. Case report and literature review

Cohn-Zurita F, Guinto-Balanzar G, Pérez-Cerdán H

Language: Spanish
References: 5
Page: 47-49
PDF size: 54.89 Kb.


ABSTRACT

/Background: Given the high prevalence in Mexico, neurocysticercosis is frequently associated with all varieties of brain lesions. However, the clinical association between pituitary adenoma and suprasellar cysts is unknown. There are no case reports elsewhere in the literature.
Clinical case: A 42-year-old female presented to the hospital complaining of increased headache and right-sided temporal hemianopsia. Imaging studies including CT and MRI revealed a moderate size pituitary adenoma along with multiple cysts located in the subarachnoid cisterns in the Sylvian fissure and around the suprasellar cistern. The patient subsequently underwent surgical exploration by means of a right frontotemporal craniotomy with pituitary adenoma resection and cyst removal. The histopathological exam was consistent with non-functioning pituitary adenoma and racemosus cysticercosis.
Conclusions: There are no reports of a clinical association between pituitary adenoma and racemosus cysticercosis. A high suspicion index is indicated in order to avoid misdiagnoses.


REFERENCES

  1. Alonso VM, Acosta GR, Mendizabal GR, Flores CC, Fernández BA. Neurocisticercosis. Rev Hosp Juarez Mex 1994;61:50-53.

  2. Baskin DS, Wilson CB. Transsphenoidal treatment of non-neoplastic intrasellar cysts. J Neurosurg 1984;60:8-13.

  3. Boecher-Schwarz HG, Hey O, Higer HP, Perneczky A. Intrasellar cysticercosis mimicking a pituitary adenoma. Br J Neurosurg 1991;5:405-407.

  4. Prosser PR, Wilson CB, Forsham PH. Intrasellar cisticercosis presenting as a pituitary tumor: successful transsphenoidal cystectomy with preservation of pituitary function. Am J Trop Med Hyg 1978;27:976-978.

  5. Rafael H, Gómez-Llata S. Intrasellar cysticercosis. J Neurosurg 1985;63:975-976.




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