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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2019; 08(03): 211-215
DOI: 10.1055/s-0039-1698847
Case Report
Neurological Surgeons' Society of India

Sellar Colloid Cyst—An Anatomically Aberrant and Diagnostically Challenging Entity: Report of a Rare Case with Literature Review

Syed Asmat Ali
1   Department of Neurosurgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
,
Kavita Gaur
2   Department of Pathology, GB Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
3   Department of Pathology, Lady Hardinge Medical College, New Delhi
,
Arvind Kumar Srivastava
4   Department of Neurosurgery, GB Pant Institute of Postgraduate Medical Education and Research and associated Maulana Azad Medical College, New Delhi, India
,
Ravindra Kumar Saran
2   Department of Pathology, GB Pant Institute of Postgraduate Medical Education and Research, New Delhi, India
› Author Affiliations
Further Information

Publication History

Received: 26 February 2019

Accepted: 25 April 2019

Publication Date:
15 November 2019 (online)

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Abstract

The sellar colloid cyst is a rare entity anatomically occurring at the intermediate lobe of the pituitary gland. Clinically a cystic sellar lesion with pressure effects usually evokes the suspicion of a pituitary adenoma. We present the case of a middle-aged woman presenting with visual diminution and bilateral optic atrophy, caused by a large sellar lesion, variably intense on magnetic resonance imaging (MRI). The subsequent histologic diagnosis of a colloid cyst was unexpected. This report highlights the subtle intraoperative and diagnostic features key to diagnosing this rarity. We also discuss a practical differential diagnostic approach relevant to the practicing surgeon and review the existing literature.

Keywords

colloid cyst - pituitary - magnetic resonance imaging

* Department(s) and institution to which the work is credited: Departments of Pathology and Neurosurgery, GB Pant Institute of Postgraduate Medical Education and Research, New Delhi, India


 

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