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[1例在抗结核药物治疗期间发生的酷似脑膜瘤的颅内结核瘤]

[A case of an intracranial tuberculoma, mimicking meningioma, that developed during treatment with anti-tuberculous agents].

作者信息

Shindo A, Honda C, Baba Y

机构信息

Department of Neurosurgery, Mitoyo General Hospital, Japan.

出版信息

No Shinkei Geka. 1999 Sep;27(9):837-41.

PMID:10478345
Abstract

A 54-year old female patient presented with intracranial tuberculoma attached to the dura mater during treatment with anti-tuberculous agents. Compared tomography (CT) and magnetic resonance imaging (MRI) revealed a lesion resembling a cystic meningioma. A granulomatous tumor that adhered to the cerebral cortex and dura was totally removed. Histological diagnosis was epithelioid granuloma. After removal of the tuberculoma and treatment with anti-tuberculous medications, the patient seemed to be cured, and regrowth of the tumor has not been observed to date. Tuberculoma mimicking meningioma is a very rare phenomenon. In the present study, we review intracranial tuberculomas and discuss their radiological features.

摘要

一名54岁女性患者在接受抗结核药物治疗期间出现附着于硬脑膜的颅内结核瘤。计算机断层扫描(CT)和磁共振成像(MRI)显示一个类似囊性脑膜瘤的病变。一个附着于大脑皮层和硬脑膜的肉芽肿性肿瘤被完全切除。组织学诊断为上皮样肉芽肿。切除结核瘤并进行抗结核药物治疗后,患者似乎已治愈,迄今为止未观察到肿瘤复发。模仿脑膜瘤的结核瘤是一种非常罕见的现象。在本研究中,我们回顾了颅内结核瘤并讨论了它们的放射学特征。

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引用本文的文献

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Rare case of meningeal tuberculoma mimicking meningioma in term pregnancy and its management.妊娠晚期罕见的脑膜结核瘤酷似脑膜瘤病例及其处理
Surg Neurol Int. 2018 Sep 3;9:178. doi: 10.4103/sni.sni_271_17. eCollection 2018.
2
Coexistence between meningioma and tuberculosis: case report.脑膜瘤与结核共存:病例报告。
J Neurooncol. 2010 Sep;99(2):289-94. doi: 10.1007/s11060-010-0133-9. Epub 2010 Mar 1.
3
MR spectroscopy-aided differentiation: "giant" extra-axial tuberculoma masquerading as meningioma.磁共振波谱辅助鉴别诊断:伪装成脑膜瘤的“巨大”轴外结核瘤
AJNR Am J Neuroradiol. 2006 Aug;27(7):1438-40.