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Osteochondroma of the sella turcica presenting with intratumoral hemorrhage.
Neurol Med Chir (Tokyo). 2009 Jan; 49(1):37-41.NM

Abstract

A 29-year-old man presented with a primary sellar turcica osteochondroma manifesting as intratumoral hemorrhage mimicking pituitary apoplexy. The patient suffered sudden onset of headache concomitant with vision loss in the left eye. Radiography and computed tomography detected destruction and calcification of the sellar turcica. Magnetic resonance imaging revealed a heterogeneously enhanced suprasellar mass that had elevated and compressed the optic chiasm. The preoperative diagnosis was hemorrhagic pituitary adenoma, craniopharyngioma, meningioma, or chordoma based on the signal heterogeneity of the lesion. To relieve the symptoms and make a definitive diagnosis, surgical removal via a basal interhemispheric approach was carried out. The tumor was not totally removed because of tight adhesion to the pituitary stalk, but postoperative ophthalmological examination revealed improvement of the visual disturbance. The histological diagnosis was osteochondroma based on the presence of mature chondrocytes and osteomatous tissue. Osteochondroma should be included in the differential diagnosis of tumors with acute hemorrhage in the sella turcica.

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Authors+Show Affiliations

Inoue T
Department of Neurosurgery, Aomori Prefectural Central Hospital, Aomori, Japan. tomoo49@gmail.com
Takahashi N
No affiliation info available
Murakami K
No affiliation info available
Nishimura S
No affiliation info available
Kaimori M
No affiliation info available
Nishijima M
No affiliation info available

MeSH

AdultCalcinosisCraniotomyDecompression, SurgicalDiagnosis, DifferentialHeadache Disorders, PrimaryHumansIntracranial HemorrhagesMagnetic Resonance ImagingMaleNerve Compression SyndromesOptic ChiasmOsteochondromaPituitary ApoplexySella TurcicaSkull NeoplasmsVision Disorders

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19169002

Citation

Inoue, Tomoo, et al. "Osteochondroma of the Sella Turcica Presenting With Intratumoral Hemorrhage." Neurologia Medico-chirurgica, vol. 49, no. 1, 2009, pp. 37-41.
Inoue T, Takahashi N, Murakami K, et al. Osteochondroma of the sella turcica presenting with intratumoral hemorrhage. Neurol Med Chir (Tokyo). 2009;49(1):37-41.
Inoue, T., Takahashi, N., Murakami, K., Nishimura, S., Kaimori, M., & Nishijima, M. (2009). Osteochondroma of the sella turcica presenting with intratumoral hemorrhage. Neurologia Medico-chirurgica, 49(1), 37-41.
Inoue T, et al. Osteochondroma of the Sella Turcica Presenting With Intratumoral Hemorrhage. Neurol Med Chir (Tokyo). 2009;49(1):37-41. PubMed PMID: 19169002.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Osteochondroma of the sella turcica presenting with intratumoral hemorrhage. AU - Inoue,Tomoo, AU - Takahashi,Noboru, AU - Murakami,Kensuke, AU - Nishimura,Shinjitsu, AU - Kaimori,Mitsuomi, AU - Nishijima,Michiharu, PY - 2009/1/27/entrez PY - 2009/1/27/pubmed PY - 2009/2/28/medline SP - 37 EP - 41 JF - Neurologia medico-chirurgica JO - Neurol Med Chir (Tokyo) VL - 49 IS - 1 N2 - A 29-year-old man presented with a primary sellar turcica osteochondroma manifesting as intratumoral hemorrhage mimicking pituitary apoplexy. The patient suffered sudden onset of headache concomitant with vision loss in the left eye. Radiography and computed tomography detected destruction and calcification of the sellar turcica. Magnetic resonance imaging revealed a heterogeneously enhanced suprasellar mass that had elevated and compressed the optic chiasm. The preoperative diagnosis was hemorrhagic pituitary adenoma, craniopharyngioma, meningioma, or chordoma based on the signal heterogeneity of the lesion. To relieve the symptoms and make a definitive diagnosis, surgical removal via a basal interhemispheric approach was carried out. The tumor was not totally removed because of tight adhesion to the pituitary stalk, but postoperative ophthalmological examination revealed improvement of the visual disturbance. The histological diagnosis was osteochondroma based on the presence of mature chondrocytes and osteomatous tissue. Osteochondroma should be included in the differential diagnosis of tumors with acute hemorrhage in the sella turcica. SN - 1349-8029 UR - https://www.unboundmedicine.com/medline/citation/19169002/Osteochondroma_of_the_sella_turcica_presenting_with_intratumoral_hemorrhage_ L2 - http://joi.jlc.jst.go.jp/JST.JSTAGE/nmc/49.37?from=PubMed DB - PRIME DP - Unbound Medicine ER -