Diaphragma sellae meningioma mimicking pituitary macroadenoma: a case report

Case Presentation: The patient was admitted to Ahwaz Golestan Hospital with a 2year history of headache, especially at night. Also, he had a bilateral ocular pain with visual field defects. Endocrinology examination revealed hyperprolactemia. His cranial radiographs revealed an enlarged sellae turci...

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Bibliographic Details
Published inInternational journal of collaborative research on internal medicine & public health Vol. 2; no. 11; p. 404
Main Authors Rasras, Saleh, Ansari, Mohammad Javad Alemzadeh, Ansari, Mohammad Hasan Alemzadeh, Rahbarian, Farhad, Rashidi, Iran
Format Journal Article
LanguageEnglish
Published Sarajevo DRUNPP 01.11.2010
DRUNPP Association
Subjects
Care and treatment
Case studies
CT imaging
Diagnosis
Excision (Surgery)
Health aspects
Magnetic resonance imaging
Meningioma
Iran
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Summary:Case Presentation: The patient was admitted to Ahwaz Golestan Hospital with a 2year history of headache, especially at night. Also, he had a bilateral ocular pain with visual field defects. Endocrinology examination revealed hyperprolactemia. His cranial radiographs revealed an enlarged sellae turcica and destruction of dorsum sellae. Computed tomography (CT) reveals a homogeneous, enhancing, and isodense mass in the intra- and suprasellar lesion without calcification. Magnetic resonance imaging (MRI) showed a solid mass with well defined margin. This mass was isointense on both T1 and T2 weighted images and homogeneously enhanced. The preoperative diagnosis was pituitary macroadenoma. A transsphenoidal rinoseptal approach was used. The specimen consisted of fragments of brownish soft tissue. External surface was irregular. Sections showed a lesion compound spindle cell proliferation with dense nucleus and scanty cytoplasm with whorling pattern, which suggested meningioma (fibrous type).
ISSN:1840-4529
1840-4529