Sathyanarayana Satish, Baskaya Mustafa K, Fowler Marjorie, Roberts Richard, Nanda Anil
Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, LA 71130-3932, USA.
J Clin Neurosci. 2003 Jan;10(1):120-2. doi: 10.1016/s0967-5868(02)00269-2.
Central nervous system tuberculoma presenting as a solitary mass in an extrinsic location is rare. Due to the increase in incidence of tuberculosis in the western world, there is a corresponding increase in CNS tuberculosis. Cerebellopontine angle tumours are most commonly acoustic schwannomas or meningiomas. Radiosurgery as a primary modality of treatment for many CNS masses without prior pathological diagnosis is increasing in popularity. This report shows that a mass in the CP angle can closely mimic a tumour radiologically and inappropriate radiation treatment was avoided after surgery. Histopathological examination proved it to be a tuberculoma. Awareness of this rare presentation of a solitary tuberculoma in the CP angle is emphasised.
表现为外在部位孤立性肿块的中枢神经系统结核瘤很罕见。由于西方世界结核病发病率的上升,中枢神经系统结核也相应增加。桥小脑角肿瘤最常见的是听神经瘤或脑膜瘤。在没有事先病理诊断的情况下,放射外科作为许多中枢神经系统肿块的主要治疗方式越来越受欢迎。本报告显示,桥小脑角的肿块在放射学上可酷似肿瘤,手术避免了不适当的放射治疗。组织病理学检查证实为结核瘤。强调对桥小脑角孤立性结核瘤这种罕见表现的认识。