Rico-Cotelo María, Serramito-García Ramón, Arán-Echabe Eduardo, Gelabert-González Miguel
Servicio de Neurocirugía, Hospital Clínico Universitario, Departamento de Cirugía, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
Rev Neurol. 2012 Sep 1;55(5):279-82.
Tuberculous involvement of the central nervous system is uncommon in western countries. Brain tuberculoma is a granulomatous inflammatory process than in rare occasions can simulate a malignant neoplasm.
A 81-year-old man regarding symptoms of several weeks of evolution of numbness affecting upper limb and right face. The neuroimaging studies showed a left parietal lesion suggestive of a primary malignant tumor. A stereotactic biopsy was performed and the pathological examination showed a brain tuberculoma. The patient was treated with anti-tuberculous drugs.
Parenchymal central nervous system tuberculosis are rare in our medio and may present as a space-occupying lesion with complex neuroimaging morphology suggesting a malignant neoplasm. Definitive diagnosis was performed with neuropathological studies or with the demonstration of acid-fast bacilli in the tuberculoma.
中枢神经系统结核在西方国家并不常见。脑结核瘤是一种肉芽肿性炎症过程，在极少数情况下可类似恶性肿瘤。
一名81岁男性，有上肢和右侧面部麻木数周的症状。神经影像学检查显示左顶叶病变，提示原发性恶性肿瘤。进行了立体定向活检，病理检查显示为脑结核瘤。患者接受了抗结核药物治疗。
实质型中枢神经系统结核在我们地区很少见，可能表现为具有复杂神经影像形态的占位性病变，提示恶性肿瘤。通过神经病理学研究或在结核瘤中发现抗酸杆菌进行明确诊断。
