Not only pituitary adenomas, but also a number of tumors may arise from within the sella presenting a diagnostic and therapeutic challenge at a multidisciplinary specialist level. This article presents a case of a colloid cyst located in sellar region, with overlapping symptoms of a nonfunctioning pituitary adenoma. Key words: colloid cyst, transsphenoidal approach Case presentationA 67-year-old woman presented to the endocrinology department with a 3-months history of frontal and retroocular persistent headache. Her past medical history was: type 2 diabetes mellitus treated with metformin and acarbose, hypertension and ischemic heart disease treated with simvastatin, carvedilol, trimetazidine and acetylsalicylic acid. She also has glaucoma, cataract and multinodular goiter.On presentation his vital signs were: blood pressure 120/70 mm Hg, heart rate 88 beats/min. General examination revealed that the patient was awake, and cooperative. Endocrinological examination revealed obesity (BMI= 31.25 kg/m2), no signs of galactorrhea and a micronodular normal-sized thyroid. No focal neurological deficits and no signs of intracranial hypertension were present. The functional evaluation of the posterior pituitary gland was carried out by means of tests for diabetes insipidus.
No consensus among neurosurgeons has been reached so far concerning optimal therapeutic strategy for colloids cysts, especially as these are non-invasive,slowgrowing, benign lesions. In symptomatic cases, endoscopic resection can be achieved as first intention when it seems to have a cyst containing fluid and there is ventriculomegaly. Cyst location and degree of superior distension of the third ventricle roof, associated with the emergence of Monro’s foramen can cause problems when using a rigid endoscope, the visualisation being impossible or difficult. Posterior interventricular foramen puncture may be helpful in such cases.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.