American Journal of Neuroradiology 24:1386-1389, August 2003
© 2003 American Society of Neuroradiology
Case Report
BRAIN
Imaging Features of Sellar Cysticercosis
a Division of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico
b Division of Neuroimaging, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico
c Division of Medical Education, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico
Address correspondence to Nicasio Arriada-Mendicoa, M.D., San Francisco 657-1201, Colonia del Valle, Mexico City, CP 03100, Mexico
Summary: Cases of sellar involvement of neurocysticercosis (NCC) are rare. Little is known about the mechanisms by which the parasite can compromise the pituitary gland. Although NCC damages sellar structures with direct compression by large cysts, extension through the basal cisterns and third ventricle with focal arachnoiditis can result as an inflammatory response. Evaluation for hypophyseal lesions in patients with NCC may allow for the diagnosis of unexplained loss of visual acuity and hormonal disturbances.