Chitre Prachi S, Tullu Milind S, Sawant H V, Ghildiyal Radha G
Department of Pediatrics and Neurosurgery, T. N. Medical College & BYL Nair Hospital, Mumbai Central, Mumbai.
J Child Neurol. 2009 May;24(5):606-9. doi: 10.1177/0883073808327837. Epub 2009 Feb 2.
Tuberculosis is common in India, but the co-occurrence of intracranial and intramedullary tuberculomas as a manifestation of central nervous system tuberculosis is extremely rare in children. We report a case of concurrent intracranial and lumbar intramedullary tuberculomas in a 6-year-old girl. The child developed the intracranial and intramedullary tuberculomas while on antituberculous therapy for previously diagnosed tuberculous meningitis. The child improved well on antituberculous drugs and neurosurgical excision of the lumbar lesion. Histopathology confirmed tuberculous etiology of the intramedullary lesion.
结核病在印度很常见，但作为中枢神经系统结核病表现的颅内和髓内结核瘤同时出现，在儿童中极为罕见。我们报告了一名6岁女孩同时患有颅内和腰髓内结核瘤的病例。该患儿在接受抗结核治疗以治疗先前诊断的结核性脑膜炎时，出现了颅内和髓内结核瘤。患儿在接受抗结核药物治疗及对腰部病变进行神经外科切除术后恢复良好。组织病理学证实了髓内病变的结核病因。
