Department of Radiology, Baskent University Faculty of Medicine, 46. Sokak No: 11/8, Bahcelievler, Ankara, Turkey.
Neurol Sci. 2009 Aug;30(4):349-52. doi: 10.1007/s10072-009-0099-6. Epub 2009 Jun 4.
Tuberculomas are common forms of central nervous system tuberculosis, presenting as space-occupying-lesions. Brainstem tuberculomas are rare among all intracranial tuberculomas. In old patients, in the absence of tuberculosis history, diagnosis may be challenging. In this case, we present a 70-year-old patient, with bladder cancer, without known tuberculosis who presented with stroke-like symptoms, clinically. Diffusion-weighted imaging revealed no finding of stroke, however, a medulla oblongata tuberculoma, mimicking metastasis was evident on MRI.
结核瘤是中枢神经系统结核病的常见形式,表现为占位性病变。脑干部位结核瘤在所有颅内结核瘤中较为罕见。在老年患者中,由于缺乏结核病病史,诊断可能具有挑战性。在本例中,我们报告了一位 70 岁的膀胱癌患者,无已知结核病史,表现为类似中风的症状。弥散加权成像未发现中风的表现,但 MRI 显示延髓结核瘤,类似于转移瘤。