Pituitary tuberculomas are extremely rare, even in the developing countries where tuberculosis is endemic. We report a rare case of isolated pituitary tuberculoma mimicking a pituitary adenoma or a Rathke's cleft cyst in Japan, a developed country. The patient was a 69-year-old woman presented with visual disturbance. Head magnetic resonance imaging (MRI) with contrast enhancement revealed an i...

A 43-year-old male presented with 3-month history of low-grade fever and headache. Radiological investigations revealed unilateral hydrocephalus. Unilateral obstruction of the foramen of Monro due to chronic tubercular ependymal inflammation was suspected and endoscopic septostomy was planned. Though ventriculo-peritoneal shunt is a simple method to treat hydrocephalus, complications related to...

Tuberculoma is one of the commonest intracranial space occupying lesions in children in India and is known to respond well to antituberculous treatment (ATT). One peculiar characteristic is appearance of new tuberculomas or expansion of already existing ones in patients who were on ATT and were responding well. Thirty two such cases have been reported in the English literature(l) but only one s...

AIMS To study perfusion characteristics of intracranial tuberculomas and analyze changes with anti tubercular treatment. MATERIALS AND METHODS Nineteen patients of histologically proven intracranial tuberculomas were included in the study of which 9 were not on antitubercular treatment and ten were on antitubercular treatment (6 patients on treatment for less than 2 months and 4 were more tha...

A paradoxical worsening of pre-existing lesion or an apparition of new lesions in patients with tuberculosis during appropriate antituberculous therapy has been reported since the early years of modern chemotherapy. Such exacerbations have been noted most commonly with lung involvement, pleural effusion, lymphadenitis, and intracranial tuberculomas. In acquired immunodeficiency syndrome (AIDS)-...

A 23-year-old Malay man presented with headache for one-month duration. It was associated with painless blurring of vision of the right eye. He had loss of appetite and reduced weight but no night sweats or hemoptysis. His visual acuity on the right eye was 6/45 and improved to 6/15 with pinhole. Right fundus examination revealed a choroidal tuberculoma located at one disc diameter away from op...