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Intrasellar Cysticercosis Presenting as a Pituitary Tumor: Successful Transsphenoidal Cystectomy with Preservation of Pituitary Function^*

A 42-year-old woman from El Salvador presented with arthralgias and headache. She was found to have an enlarged sella with an intrasellar mass. Transsphenoidal exploration of the sella revealed a cysticercus. The cyst was removed and normal pituitary function was retained. Review of the literature showed three previously reported confirmed or suspected cases of intrasellar cysticercosis: in two, the diagnosis was made at autopsy; in the third, a patient with hypopituitarism, intrasellar cysticercosis was suspected in life but never confirmed histologically. Transsphenoidal cystectomy successfully treated our patient without compromise of pituitary function and is recommended for similar cases.

Accepted for publication February 27, 1978.

^* Supported in part by grants from the Levi J. and Mary C. Skaggs Foundation of Oakland, California, and the Susan Greenwall Foundation of New York City. Clinical studies were carried out at the General Clinical Research Center of the University of California, San Francisco, with funds provided by the Division of Research Resources (RR-79) of the United States Public Health Service.

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