Poonnoose S I, Singh S, Rajshekhar V
Department of Neurological Sciences, Christian Medical College and Hospital, 632004 Vellore, India.
Neuroradiology. 2004 Feb;46(2):136-9. doi: 10.1007/s00234-003-1148-0. Epub 2004 Jan 9.
We present a patient with a giant cerebellar tuberculoma which MRI led us to believe was a vascular, malignant tumour. Angiography revealed the mass to be relatively avascular, but also showed marked narrowing of the posterior circulation vessels, suggesting arteritis. Biopsy of the lesion was reported as consistent with tuberculoma. We highlight the need to integrate different imaging modalities in arriving at a diagnosis of an intracranial mass and discuss atypical features of intracranial tuberculomas.
我们报告了一名患有巨大小脑结核瘤的患者，MRI使我们认为这是一个血管性恶性肿瘤。血管造影显示该肿块相对无血管，但也显示后循环血管明显狭窄，提示动脉炎。病变活检报告与结核瘤一致。我们强调在诊断颅内肿块时需要综合运用不同的成像方式，并讨论颅内结核瘤的非典型特征。
