AJDRAJNR - American Journal of Neuroradiology

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Case Report
BRAIN

Imaging Features of Sellar Cysticercosis

Nicasio Arriada-Mendicoaa, Miguel Angel Celis-Lópeza, Jesús Higuera-Callejab and Teresa Corona-Vázquezc

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.