Knauer-Fischer S, Schaper J, Janssen H T, Ratjen F
Department of Pediatrics, University of Essen, Germany.
Pediatr Neurol. 1999 Jan;20(1):57-9. doi: 10.1016/s0887-8994(98)00094-0.
A case of a pontine tuberculoma in a 12-year-old male from Somalia is presented. Cranial magnetic resonance imaging, performed in Abu Dhabi 1 month before admission in Germany revealed a tumorous lesion in the pons with surrounding edema; a presumptive diagnosis of a pontine glioma was made. Chest radiograph disclosed a pulmonary infiltrate with cavitation, as well as hilar and left mediastinal lymphadenopathy, suggestive of active tuberculosis. Tuberculostatic therapy led to an improvement of the patient's clinical status and a significant reduction in the size of the pontine tuberculoma. Intracranial tuberculomas rarely are seen in industrialized countries. They should, however, be considered as an important part of the differential diagnosis of intracranial space-occupying lesions. In most cases, as in this patient, conservative therapy provides good or excellent results.
本文报告了一例来自索马里的12岁男性桥脑结核瘤病例。患者在德国入院前1个月于阿布扎比进行的头颅磁共振成像显示桥脑有一肿瘤性病变，周围伴有水肿；初步诊断为桥脑胶质瘤。胸部X线片显示肺部有浸润伴空洞形成，以及肺门和左纵隔淋巴结肿大，提示活动性结核。抗结核治疗使患者的临床状况得到改善，桥脑结核瘤的大小显著缩小。颅内结核瘤在工业化国家很少见。然而，它们应被视为颅内占位性病变鉴别诊断的重要组成部分。在大多数情况下，如本病例患者，保守治疗可取得良好或极佳的效果。
